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NPI Code Detail

MEDICARE: DR. MARLON ANTWON PEOPLES PT,DPT

MEDICARE: DR. MARLON ANTWON PEOPLES PT,DPT
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
1225100000XPhysical Therapist1189850TX

General Provider Information

NPI Number : 1497015010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLON ANTWON PEOPLES PT,DPT
Provider Business Mailing Address
First Line : 1633 SUMMER CITY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77047-3417
Country : US
Telephone Number : 713-703-2319
Fax Number :
Provider Business Practice Location Address
First Line : 9563 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-4531
Country : US
Telephone Number : 713-703-2319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2012
Last Update Date : 02/26/2025

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