MEDICARE: MARCOS RAFAEL OCA OLIVA NURSE PRACTITIONER

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	363LF0000X	Family Nurse Practitioner	1096528	TX

General Provider Information

NPI Number	:	1063342699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCOS RAFAEL OCA OLIVA NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	1711 ANNA CREEK DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-2405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 NORTH LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1374
Country	:	US
Telephone Number	:	713-742-0615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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