Provider Demographics
NPI:1548559933
Name:MARSHA HOUK HEALTH CLINIC, LLC
Entity Type:Organization
Organization Name:MARSHA HOUK HEALTH CLINIC, LLC
Other - Org Name:VOTECH ROAD MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:TUBB
Authorized Official - Last Name:HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:662-369-4191
Mailing Address - Street 1:50140 VOTECH RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-9003
Mailing Address - Country:US
Mailing Address - Phone:662-369-4191
Mailing Address - Fax:
Practice Address - Street 1:50141 VOTECH RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-9029
Practice Address - Country:US
Practice Address - Phone:662-369-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR797975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty