Marzouk, Issam
Marzouk, Issam is an individual health care provider with primary practice located at 4305 N Mesa St Suite A, El Paso TX 79902-1123. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Marzouk, Issam can be contacted via phone (915) 532-2477.Contact Information
Primary practice address
4305 N Mesa St Suite A
El Paso TX 79902-1123
Phone: (915) 532-2477
Fax: (915) 532-2470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | Q6345 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | RS2014-0452 | New Mexico |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | Q6345 | Texas |
Profile Details
NPI number | 1396975652 |
---|---|
LBN Legal business name | Marzouk, Issam |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2009 |
Last updated | Jul 21st, 2022 - 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 | 1396975652 | NPPES |
Texas | MEDICAID | 355967601 |
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