Provider Demographics
NPI:1376725150
Name:MARMORSTEIN, STUART
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:MARMORSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:STU
Other - Middle Name:
Other - Last Name:MARMORSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5925 KIRBY DR
Mailing Address - Street 2:STE E633
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3150
Mailing Address - Country:US
Mailing Address - Phone:713-831-6875
Mailing Address - Fax:775-254-2757
Practice Address - Street 1:3730 KIRBY DR
Practice Address - Street 2:STE 1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3905
Practice Address - Country:US
Practice Address - Phone:713-831-6875
Practice Address - Fax:775-254-2757
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor