Individual
DR. MARCO A GIANNOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
9180 PINECROFT DR STE 100, SHENANDOAH, TX 77380
(281) 367-6836
(281) 367-5545
Mailing address
9180 PINECROFT DR STE 100, SHENANDOAH, TX 77380-3880
(281) 367-6836
(281) 367-5545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113215106
—
TX
01
—
31892
AMERICAID
TX
01
—
3231889
AETNA HMO
TX
01
—
4754569-012
CIGNA
TX
01
—
4754569-013
CIGNA
TX
01
—
4754569-014
CIGNA
TX
01
—
5621502
AETNA PPO
TX
01
—
8J1224
BCBS
TX
01
—
P00063148
MEDICARE RAILROAD
TX
01
—
P43964651
MULTIPLAN
TX
Enumeration date
07/12/2005
Last updated
08/19/2020
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