MEDICARE: MS. MARJORIE CEANT PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA07985	TX
2	363AM0700X	Medical Physician Assistant	PA 9013676	FL

General Provider Information

NPI Number	:	1194091439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARJORIE CEANT PA-C

Provider Business Mailing Address
First Line	:	15850 EXPORT PLAZA DRIVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032
Country	:	US
Telephone Number	:	281-985-8530
Fax Number	:	281-985-8462

Provider Business Practice Location Address
First Line	:	215 KINGWOOD EXECUTIVE DR STE 150
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2765
Country	:	US
Telephone Number	:	682-683-2301
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2012
Last Update Date	:	02/26/2025

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