Provider Demographics
NPI:1023879491
Name:MARQUEZ, OSVALDO JR
Entity type:Individual
Prefix:
First Name:OSVALDO
Middle Name:
Last Name:MARQUEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 COPPERCREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2263
Mailing Address - Country:US
Mailing Address - Phone:714-356-2725
Mailing Address - Fax:
Practice Address - Street 1:10242 GREENHOUSE RD STE 401
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1827
Practice Address - Country:US
Practice Address - Phone:281-758-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician