Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marisa Adela Ducach, PA-C

Individual provider Physician Assistant · NPI 1396336152

Marisa Adela Ducach, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2020, 6 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Texas.

Years since qualifying
6
Licensed in
MA, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6411 Fannin St
Houston, TX 77030-1501
Phone: (713) 500-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14621 (TX)
Physician Assistant Taxonomy 363A00000X (MA)

Record details

NPI number1396336152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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