Provider Demographics
NPI:1366761512
Name:MARQUEZ, JOFRANCES ARMEZA JR (MD)
Entity type:Individual
Prefix:
First Name:JOFRANCES
Middle Name:ARMEZA
Last Name:MARQUEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 N HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5140
Mailing Address - Country:US
Mailing Address - Phone:432-580-7373
Mailing Address - Fax:
Practice Address - Street 1:408 N HANCOCK AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5140
Practice Address - Country:US
Practice Address - Phone:432-580-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS25918208600000X
TN69804208600000X
ARE-9431208600000X
TXU7802208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR210905001Medicaid
AR210905001Medicaid