Provider Demographics
NPI:1396073896
Name:CONTRERAS, MARCI RENEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:RENEE
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4850
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4850
Mailing Address - Country:US
Mailing Address - Phone:713-798-7707
Mailing Address - Fax:713-798-0115
Practice Address - Street 1:6501 FANNIN ST
Practice Address - Street 2:SUITE NB100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-798-7707
Practice Address - Fax:713-798-0115
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06173363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical