Issam Marzouk, M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

Q6345 Issued in TX

Practice address

4305 N Mesa St
Suite a
El Paso, TX 79902-1123

Phone

(915) 532-2477

Fax

(915) 532-2470

NPI assigned

Jul 21, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396975652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021124",
            "telephone_number": "915-532-2477",
            "fax_number": "915-532-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N MESA ST",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021123",
            "telephone_number": "915-532-2477",
            "fax_number": "915-532-2470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9999 Kenworthy St Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799244413",
            "country_code": "US",
            "telephone_number": "915-757-6280",
            "fax_number": "915-757-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1865 N Lee Trevino Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364111",
            "country_code": "US",
            "telephone_number": "915-590-1994",
            "fax_number": "915-590-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZOUK",
        "first_name": "ISSAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "Q6345",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2014-0452",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "Q6345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355967601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Nickerson MD Facog PA
• Mary Jo Wright MD, PA
• Mary K. Curley, M.a., LPC
• Maryann Obi
• Emilio Marzan, D.O.
• Shaden Marzouk, MD
• Ana Karina Mascarenhas, BDS, MPH, DRPH
• Robert Antonio Mascorro, LCSW
• Veronica Mascorro, LPC
• Mashero Dialysis LLC

• Critical Care Medicine (Internal Medicine) Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Critical Care Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.