Provider Demographics
NPI:1770230195
Name:MARCO, RHONDA LYNNE (PA-C)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:LYNNE
Last Name:MARCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:LYNNE
Other - Last Name:WEINBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5603 ROMULUS CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3994
Mailing Address - Country:US
Mailing Address - Phone:713-865-2033
Mailing Address - Fax:
Practice Address - Street 1:5603 ROMULUS CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3994
Practice Address - Country:US
Practice Address - Phone:713-865-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15441363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant