KRISTAN MARQUEZ NPI 1063270429

NPI Information

  • NPI: 1063270429
  • Provider Name: KRISTAN MARQUEZ
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1023 LIPSCOMB ST STE 200
    FORT WORTH, TX
    ZIP 76104
  • Phone: (972) 544-6600

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NPI Details

Kristan Marquez is a medical physician assistant in Fort Worth, TX with 2 years of experience. Kristan Marquez NPI is 1063270429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1023 LIPSCOMB ST STE 200
FORT WORTH, TX
ZIP 76104-102
Phone: (972) 544-6600
Fax: (972) 544-6604

The NPI 1063270429 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 5/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA17986TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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