Provider Demographics
NPI:1497015010
Name:PEOPLES, MARLON ANTWON (PT,DPT)
Entity Type:Individual
Prefix:DR
First Name:MARLON
Middle Name:ANTWON
Last Name:PEOPLES
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3514 BURKE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2302
Mailing Address - Country:US
Mailing Address - Phone:281-761-7001
Mailing Address - Fax:281-761-7002
Practice Address - Street 1:3514 BURKE RD STE 500
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2302
Practice Address - Country:US
Practice Address - Phone:281-761-7001
Practice Address - Fax:281-761-7002
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1189850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist