Duarte, Marco Antonio
Duarte, Marco Antonio is an individual health care provider with primary practice located at 4532 N. Mesa St. 3Rd Floor Ste 301, El Paso TX 79912-6286. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Duarte, Marco Antonio can be contacted via phone (915) 317-5077.Contact Information
Primary practice address
4532 N. Mesa St. 3Rd Floor Ste 301
El Paso TX 79912-6286
Phone: (915) 317-5077
Fax: (505) 842-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R4383 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 80-141 | New Mexico |
Profile Details
| NPI number | 1639155765 |
|---|---|
| LBN Legal business name | Duarte, Marco Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Mar 2nd, 2018 - about 8 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 | 1639155765 | NPPES |
| New Mexico | Other | P00471231 | RR MEDICARE |
| New Mexico | MEDICAID | 02923 | RR MEDICARE |
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