Provider Demographics
NPI:1821674326
Name:PASSERI, MARCO FERNANDO (MD)
Entity type:Individual
Prefix:
First Name:MARCO
Middle Name:FERNANDO
Last Name:PASSERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0435
Mailing Address - Country:US
Mailing Address - Phone:409-772-0644
Mailing Address - Fax:409-747-0777
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-5474
Practice Address - Country:US
Practice Address - Phone:409-772-0644
Practice Address - Fax:409-747-0777
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP20089923207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease