Provider Demographics
NPI:1205861887
Name:MARCO, REX A (MD)
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:A
Last Name:MARCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 MAIN ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1502
Mailing Address - Country:US
Mailing Address - Phone:713-363-7510
Mailing Address - Fax:713-790-6202
Practice Address - Street 1:6445 MAIN ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1502
Practice Address - Country:US
Practice Address - Phone:713-363-7510
Practice Address - Fax:713-790-6202
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1378207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047345603Medicaid
TX8R7011OtherBCBS
TX8EW604OtherBLUE CROSS BLUE SHIELD
TX047345604OtherCSHCN
TX047345607Medicaid
TXP00294915Medicare PIN
TX8EW604OtherBLUE CROSS BLUE SHIELD
TXH23434Medicare UPIN
TX047345607Medicaid