Provider Demographics
NPI:1174333207
Name:MARQUEZ-RAMIREZ, RENE (PTA)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:MARQUEZ-RAMIREZ
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:RENE
Other - Middle Name:
Other - Last Name:MARQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:155 LCR 506
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-4589
Mailing Address - Country:US
Mailing Address - Phone:254-301-5537
Mailing Address - Fax:
Practice Address - Street 1:155 LCR 506
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-4589
Practice Address - Country:US
Practice Address - Phone:254-301-5537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2180654225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant