Organization Active NPI

Marcelina Holdings LLC D/B/a Medexams

  • Clinic/Center
  • Pleasanton, TX
National Provider Identifier
1205497724
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARCELINA HOLDINGS LLC D/B/A MEDEXAMS
Practice address
208 N Smith St
Pleasanton, TX 78064-3536
Phone
(830) 480-5152
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Deanna Repka
Title
Office Manager
Phone
(830) 480-5152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

208 N Smith St
Pleasanton, TX 78064-3536

Mailing address

PO Box 737
Pleasanton, TX 78064-0737

National Provider Directory

National Provider Directory

Locations

208 N Smith St
Pleasanton, TX 78064
Phone (830) 480-5152

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1205497724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780640737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N SMITH ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643536",
            "telephone_number": "830-480-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELINA HOLDINGS LLC D/B/A MEDEXAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "REPKA",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "830-480-5152"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.