Provider Demographics
NPI:1053685495
Name:GUICE, MARCUS LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:LEROY
Last Name:GUICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 BAKER ST
Mailing Address - Street 2:HARRIS COUNTY SHERIFF'S OFFICE, MEDICAL DIVISION
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1206
Mailing Address - Country:US
Mailing Address - Phone:713-755-9202
Mailing Address - Fax:713-755-1246
Practice Address - Street 1:1200 BAKER ST
Practice Address - Street 2:HARRIS COUNTY SHERIFF'S OFFICE, MEDICAL DIVISION
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1206
Practice Address - Country:US
Practice Address - Phone:713-755-9202
Practice Address - Fax:713-755-1246
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-4032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine