Individual provider Active NPI

Marcela Navarro Holguin, M.D.

  • Pediatrics Physician
  • Galveston, TX
National Provider Identifier
1124207972
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
44844 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-0587
Phone
(409) 772-8600
Fax
(409) 772-9050
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 44844 TX Primary
Pediatrics Physician 208000000X 53581 CT

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-0587

Mailing address

5402 Carefree Cir
League City, TX 77573-3131
Phone (832) 673-7479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219001469 TX Practitioner - Pediatric Medicine 5597080374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53581CTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Feb 4, 2015 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

3023 Marina Bay Dr
Ste 101
League City, TX 77573
Phone (281) 334-0620

333 N Texas Ave
Ste 4300
Webster, TX 77598
Phone (281) 338-5437

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1124207972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 CAREFREE CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733131",
            "telephone_number": "832-673-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550587",
            "telephone_number": "409-772-8600",
            "fax_number": "409-772-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO HOLGUIN",
        "first_name": "MARCELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "44844",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "53581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.