Provider Demographics
NPI:1922645423
Name:HOWELL, MARCIE BROOKE (MSOM, LAC, ABT)
Entity Type:Individual
Prefix:MS
First Name:MARCIE
Middle Name:BROOKE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MSOM, LAC, ABT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 163932
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-3932
Mailing Address - Country:US
Mailing Address - Phone:512-769-9917
Mailing Address - Fax:
Practice Address - Street 1:3801 N CAPITAL OF TEXAS HWY STE I100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-1504
Practice Address - Country:US
Practice Address - Phone:512-478-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist