Provider Demographics
NPI:1700040094
Name:GARCIA MARRERO, HECTOR MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:MANUEL
Last Name:GARCIA MARRERO
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:PO BOX 5409
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5409
Mailing Address - Country:US
Mailing Address - Phone:325-692-5800
Mailing Address - Fax:325-692-6111
Practice Address - Street 1:6300 REGIONAL PLZ STE 650
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606
Practice Address - Country:US
Practice Address - Phone:325-692-5800
Practice Address - Fax:325-692-6111
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7917208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3325532-01Medicaid
TX334987YMS4Medicare PIN