Provider Demographics
NPI:1326771544
Name:EUGENIO, MARICA MAY
Entity Type:Individual
Prefix:
First Name:MARICA MAY
Middle Name:
Last Name:EUGENIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 BROKEN BEND DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-9325
Mailing Address - Country:US
Mailing Address - Phone:281-825-9924
Mailing Address - Fax:
Practice Address - Street 1:1700 ALMA DR STE 580
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7009
Practice Address - Country:US
Practice Address - Phone:281-825-9924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17011363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant