MEDICARE: MR. ALEJANDRO MARBID HAGAD IV RN

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	163W00000X	Registered Nurse	981319	TX
2	163WC0200X	Critical Care Medicine Registered Nurse	981319	TX
3	163WH0200X	Home Health Registered Nurse	981319	TX
4	163WP2201X	Ambulatory Care Registered Nurse	981319	TX
5	163WI0500X	Infusion Therapy Registered Nurse	981319	TX

General Provider Information

NPI Number	:	1255219168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEJANDRO MARBID HAGAD IV RN

Provider Business Mailing Address
First Line	:	6060 FAIRMONT PKWY APT 3203
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4053
Country	:	US
Telephone Number	:	832-207-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 FAIRMONT PKWY APT 3203
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-4053
Country	:	US
Telephone Number	:	832-207-3700
Fax Number	:

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

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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