Individual
MARCOS ROSAURO HERMOSO JR.
Active
Individual
MARCOS ROSAURO HERMOSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K0821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050056901
RAILROAD - MEDICARE
TX
05
—
122183002
—
TX
01
—
1375012
LA - MEDICAID
LA
01
—
8016J2
OUT HARRIS - MEDICARE
TX
01
—
81316K
IN HARRIS - MEDICARE
TX
01
—
81316K
TX-BLUE SHIELD
—
Enumeration date
01/10/2007
Last updated
12/03/2021
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