Provider Demographics
NPI:1285766493
Name:ROCCO, MONICA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ANN
Last Name:ROCCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 BURNET RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5390
Mailing Address - Country:US
Mailing Address - Phone:512-505-5500
Mailing Address - Fax:512-334-2628
Practice Address - Street 1:2000 SCENIC DR # G002
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7726
Practice Address - Country:US
Practice Address - Phone:512-505-5500
Practice Address - Fax:512-334-2628
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44019208600000X
TXH2733208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A440190Medicaid
CAGO292ZOtherMEDICARE ID
CAF29494Medicare UPIN