Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristan Marquez

Individual provider Medical Physician Assistant · NPI 1063270429

Kristan Marquez is a Physician Assistant in Fort Worth, Texas. Qualified in 2024, 2 years ago. Practices with Fort Worth Institute of Medical Sciences LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
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Practice location Address checks out

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone: (972) 544-6600
Fax: (972) 544-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17986 (TX)

Record details

NPI number1063270429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address1023 Lipscomb St Ste 200, Fort Worth, TX 76104-3102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fort Worth Institute Of Medical Sciences Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Worth