| Dr Jaclyn Teresa Marroquin, MD | |
|
505 Saint Davids Loop Ste 320, Leander, TX 78641-5225 | |
| (737) 843-7533 | |
| (737) 843-7535 |
| Full Name | Dr Jaclyn Teresa Marroquin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 505 Saint Davids Loop Ste 320, Leander, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912102583 | NPI | - | NPPES |
| 206278803 | Medicaid | TX | |
| 3891389930 | Other | MYUTMB 3891389930-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | BP10026814 (Texas) | Secondary |
| 208000000X | Pediatrics | N3867 (Texas) | Primary |
| Entity Name | The Austin Diagnostic Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497729685 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaclyn Teresa Marroquin, MD 505 Saint Davids Loop Ste 320, Leander, TX 78641-5225 Ph: (737) 843-7533 | Dr Jaclyn Teresa Marroquin, MD 505 Saint Davids Loop Ste 320, Leander, TX 78641-5225 Ph: (737) 843-7533 |
Lee R. Dockray, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 901 Crystal Falls Pkwy Ste 103, Leander, TX 78641 Phone: 512-259-2198 Fax: 512-406-7374 | |
Dr. Joanne Raquel Li-pelaez, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10824 E Crystal Falls Pkwy Ste 201, Leander, TX 78641 Phone: 512-528-6100 Fax: 512-528-6200 | |
Chelsea Nicole Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 709 South Bagdad Road, North Austin Pediatrics, Leander, TX 78641 Phone: 512-260-0101 Fax: 855-862-9297 |