Individual
ANDREA MARCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O, M.D
Contact information
Practice address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 242-3070
Mailing address
921 GESSNER RD, HOUSTON, TX 77024-2501
(713) 242-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
235825
NY
207P00000X
Emergency Medicine Physician
Primary
M1228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177291504
—
TX
05
—
177291506
—
TX
05
—
177291510
—
TX
Enumeration date
03/24/2006
Last updated
10/02/2009
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