Provider Demographics
NPI:1063926582
Name:MARASOVICH, STEVE ANTHONY SR (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:ANTHONY
Last Name:MARASOVICH
Suffix:SR
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:P.O. BOX 777
Mailing Address - Street 2:
Mailing Address - City:FABENS
Mailing Address - State:TX
Mailing Address - Zip Code:79838
Mailing Address - Country:US
Mailing Address - Phone:915-204-0600
Mailing Address - Fax:915-764-4258
Practice Address - Street 1:591 FABENS ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:FABENS
Practice Address - State:TX
Practice Address - Zip Code:79838
Practice Address - Country:US
Practice Address - Phone:915-204-0600
Practice Address - Fax:915-764-4258
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC9056207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology