| Doctor Name: | MICHAEL MARQUEZ |
| NPI Number: | 1003810805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA03875 |
| Business Practice Address: | 1441 Woodstead Ct Ste 300 The Woodlands, TX - 773801449 |
| Business Phone Number: | 2813670400 |
| Business Fax Number: | 2813671204 |
| Mailing Address: | 1441 Woodstead Ct, Ste 300 THE WOODLANDS |
| State: | TX |
| Postal Code: | 773801449 |
| Phone Number: | 2813670400 |
| Fax Number: | 2813671204 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA03875 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |