MEDICARE: MARCELO TOTORICA MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	L7229	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	00Z746	OTHER	TX	MEDICARE GROUP PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0012RWG	OTHER	TX	BCBS OF TEXAS GROUP PROVIDER ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891942496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARCELO TOTORICA MD PA

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-0128
Country	:	US
Telephone Number	:	281-833-3330
Fax Number	:	281-833-3323

Provider Business Practice Location Address
First Line	:	1910 JOHN RALSTON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77013-5697
Country	:	US
Telephone Number	:	713-451-3030
Fax Number	:	713-451-6657

Authorized Official
Title or Position	:	OWNER
Name	:	MARCELO TOTORICA
Credential	:	M.D.
Telephone Number	:	713-451-3030

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/11/2020

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Directions to “MARCELO TOTORICA MD PA ” Practice Location

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