MARQUIS CENTER OF DALLAS PLLC; NPI #1124917836

Contact Information

MARQUIS CENTER OF DALLAS PLLC

8215 WESTCHESTER DR STE 112
DALLAS, TX 75225-6109

Phone: 618-402-6622
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for MARQUIS CENTER OF DALLAS PLLC

NPI Number	`1124917836`
LBN Legal business name	MARQUIS CENTER OF DALLAS PLLC
Authorized official	CLARK PETERSEN - (DIRECTOR OF INFRASTRUCTURE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/30/2025
Last updated	06/30/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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