Individual
MR. MARCUS GERARD TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST., CSA
Contact information
Practice address
6811 ORVILLE ST, HOUSTON, TX 77028-2139
(832) 654-8459
Mailing address
6811 ORVILLE ST, HOUSTON, TX 77028-2139
(832) 654-8459
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
363AS0400X
TX
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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