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Organization
MARK A. MARCONI, D.O., P.A.
Active
Organization
MARK A. MARCONI, D.O., P.A.
Active
Other names
Gulf Coast Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A MARCONI D.O. (PRESIDENT)
(979) 532-1159
Entity
Organization
Contact information
Practice address
10119 US 59 HWY, WHARTON, TX 77488-7224
(979) 532-1159
(979) 532-2119
Mailing address
PO BOX 1128, WHARTON, TX 77488-1128
(979) 532-1159
(979) 532-2119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158638001
—
TX
Enumeration date
04/10/2007
Last updated
07/21/2022
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