Provider Demographics
NPI:1407222094
Name:MARINAS, RAFAEL (DPT)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:MARINAS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 POST OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6120
Mailing Address - Country:US
Mailing Address - Phone:713-993-9999
Mailing Address - Fax:
Practice Address - Street 1:2929 POST OAK BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-6120
Practice Address - Country:US
Practice Address - Phone:713-993-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2022-10-28
Deactivation Date:2022-01-07
Deactivation Code:
Reactivation Date:2022-10-28
Provider Licenses
StateLicense IDTaxonomies
TX1177433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist