Individual
DR. MARC ALAN SANGALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2112 REGIONAL MEDICAL DR STE 1319, WHARTON, TX 77488-1413
(713) 486-7630
(979) 532-6790
Mailing address
2112 REGIONAL MEDICAL DR STE 1319, WHARTON, TX 77488-1413
(713) 486-7630
(979) 532-6790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118843501
—
TX
05
—
118843507
—
TX
01
—
160039180
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
85Z654
BC/BS TX#
TX
01
—
8DE545
BC/BS#
TX
Enumeration date
04/13/2006
Last updated
10/10/2022
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