Marroquin, Jaclyn Teresa
Marroquin, Jaclyn Teresa is an individual health care provider with primary practice located at 505 Saint Davids Loop Ste 320 , Leander TX 78641-5225. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marroquin, Jaclyn Teresa can be contacted via phone (737) 843-7533.Contact Information
Primary practice address
505 Saint Davids Loop Ste 320
Leander TX 78641-5225
Phone: (737) 843-7533
Fax: (737) 843-7535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BP10026814 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N3867 | Texas |
Profile Details
| NPI number | 1912102583 |
|---|---|
| LBN Legal business name | Marroquin, Jaclyn Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | May 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912102583 | NPPES |
| Texas | MEDICAID | 206278803 | |
| Texas | Other | 3891389930 |
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