Provider Demographics
NPI:1043203128
Name:AQUINO, MARCUS MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:MICHAEL
Last Name:AQUINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2110 SEABROOK CIR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-1626
Mailing Address - Country:US
Mailing Address - Phone:281-474-7171
Mailing Address - Fax:281-474-7177
Practice Address - Street 1:2110 SEABROOK CIR
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-1626
Practice Address - Country:US
Practice Address - Phone:281-474-7171
Practice Address - Fax:281-474-7177
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH4861208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB20935Medicare UPIN
TX8F2850Medicare PIN