Healthcare Provider Details

I. General information

NPI: 1992915938
Provider Name (Legal Business Name): MARC SARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9230 KATY FWY STE 600
HOUSTON TX
77055-7468
US

IV. Provider business mailing address

9230 KATY FWY STE 600
HOUSTON TX
77055-7468
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-0700
  • Fax:
Mailing address:
  • Phone: 713-489-5948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number107149
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberS2672
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: