Provider Demographics
NPI:1881958742
Name:HOLGUIN, FELICITAS MARQUEZ (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:FELICITAS
Middle Name:MARQUEZ
Last Name:HOLGUIN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MS
Other - First Name:FELA
Other - Middle Name:M
Other - Last Name:HOLGUIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:1812 ORANGE BLOSSOM LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8319
Mailing Address - Country:US
Mailing Address - Phone:956-324-3546
Mailing Address - Fax:
Practice Address - Street 1:6551 STAR CT
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-9140
Practice Address - Country:US
Practice Address - Phone:956-523-7850
Practice Address - Fax:956-523-7865
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX508216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily