Syrquin, Maurice G
Syrquin, Maurice G is an individual health care provider with primary practice located at 3414 Oak Grove Ave , Dallas TX 75204-2375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Syrquin, Maurice G can be contacted via phone (214) 521-1153.Contact Information
Primary practice address
3414 Oak Grove Ave
Dallas TX 75204-2375
Phone: (214) 521-1153
Fax: (214) 219-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | H9162 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G69442 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 73015 | Massachusetts |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 73015 | Massachusetts |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | G69442 | California |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | H9162 | Texas |
Profile Details
| NPI number | 1376501635 |
|---|---|
| LBN Legal business name | Syrquin, Maurice G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| 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 | 1376501635 | NPPES |
| Texas | Other | 5365042 | AETNA |
| Texas | MEDICAID | 128119806 | AETNA |
| Texas | MEDICAID | 128119807 | AETNA |
| Texas | Other | 180043891 | AETNA |
| Texas | MEDICAID | 200052580A | AETNA |
| Texas | Other | 805833 | AETNA |
| Texas | MEDICAID | 128119804 | AETNA |
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