Provider Demographics
NPI:1902881048
Name:MARQUIS, ROBERT EDWARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EDWARD
Last Name:MARQUIS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:5717 BALCONES DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6515207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OP1443OtherEYEMED
TX10013895OtherAMERIGROUP
VP17200OtherGE WELLNESS
TX921327OtherBLOCK VISION
SCP00139933Medicare PIN
TX8F4642OtherBLUE CROSS BLUE SHIELD
55343-004OtherDAVIS VISION
TX159136406Medicaid
142710100OtherFIRST CARE
TX4287872OtherBLUELINK
TX159136407Medicaid
H87872Medicare UPIN
TX8B5577Medicare PIN
TX7945503OtherAETNA
32951-019OtherDAVIS VISION
TX8B5578Medicare PIN