Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | L1378 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | L1378 | TX |
NPI | 1205861887 |
---|---|
Provider Name | Rex A Marco |
First Address | Houston, TX 77030-1502 |
Second Address | Houston, TX 77030-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047345603 | (05) | TX |
047345604 | CSHCN (01) | TX |
047345607 | (05) | TX |
8EW604 | BLUE CROSS BLUE SHIELD (01) | TX |
8R7011 | BCBS (01) | TX |
H23434 | (02) | TX |