Healthcare Provider Details

I. General information

NPI: 1255219168
Provider Name (Legal Business Name): ALEJANDRO MARBID HAGAD IV RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 FAIRMONT PKWY APT 3203
PASADENA TX
77505-4053
US

IV. Provider business mailing address

6060 FAIRMONT PKWY APT 3203
PASADENA TX
77505-4053
US

V. Phone/Fax

Practice location:
  • Phone: 832-207-3700
  • Fax:
Mailing address:
  • Phone: 832-207-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number981319
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number981319
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number981319
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number981319
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number981319
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: