Provider Demographics
NPI:1821210600
Name:SEVIER, MARCUS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:
Last Name:SEVIER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23330 HIGHWAY 59 N STE 300
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4471
Mailing Address - Country:US
Mailing Address - Phone:281-359-3223
Mailing Address - Fax:281-359-2089
Practice Address - Street 1:23330 HIGHWAY 59 N STE 300
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4471
Practice Address - Country:US
Practice Address - Phone:281-359-3223
Practice Address - Fax:281-359-2089
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02350363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87N842OtherBCBS
TX304225101Medicaid
TX1821210600OtherTRICARE SOUTH
TX304225102Medicaid
TX87N842OtherBCBS
TX304225101Medicaid