Individual
MR. MARCUS SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13602 BAXTER HILLS LN, HOUSTON, TX 77070-5500
(832) 869-3599
Mailing address
13602 BAXTER HILLS LN, HOUSTON, TX 77070-5500
(832) 869-3599
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
02755209
TX
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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