Provider Demographics
NPI:1376959320
Name:BRINSON, MARCUS LEON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:LEON
Last Name:BRINSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3397 LEAFSTONE LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6407
Mailing Address - Country:US
Mailing Address - Phone:832-725-0969
Mailing Address - Fax:
Practice Address - Street 1:3836 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5802
Practice Address - Country:US
Practice Address - Phone:832-325-5852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist