| Gerard A Marroquin Md Pllc | |
|
7003 Woodway Dr Ste 306 Waco TX 76712-6163 | |
| (254) 717-6636 | |
| Not Available |
| Full Name | Gerard A Marroquin Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7003 Woodway Dr Ste 306, Waco, Texas |
| Authorized Official Name and Position | Gerard A Marroquin (PHYSICIAN/ PRESIDENT) |
| Authorized Official Contact | 2547176636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard A Marroquin Md Pllc 7003 Woodway Dr Ste 306 Waco TX 76712-6163 Ph: (254) 717-6636 | Gerard A Marroquin Md Pllc 7003 Woodway Dr Ste 306 Waco TX 76712-6163 Ph: (254) 717-6636 |
| NPI Number | 1235907890 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 1759725773 |
|---|---|
| Medicare Enrollment ID | O20240219000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235907890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gerard Marroquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932173044 PECOS PAC ID: 6709920838 Enrollment ID: I20100212000492 |
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