Organization
CRESCENT FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO V MARZOCCA (PRACTICE ADMINISTRATOR)
(972) 747-0777
Entity
Organization
Contact information
Practice address
820 S ALMA DR, SUITE 130, ALLEN, TX 75013-3808
(972) 747-0777
(214) 383-4559
Mailing address
820 S ALMA DR, SUITE 130, ALLEN, TX 75013-3808
(972) 747-0777
(214) 383-4559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5NP
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/09/2006
Last updated
01/10/2013
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