Provider Demographics
NPI:1184718637
Name:MARKOWITZ, MICHAEL LEON (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEON
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:5509 CUNNINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3720
Mailing Address - Country:US
Mailing Address - Phone:281-217-7761
Mailing Address - Fax:281-412-0636
Practice Address - Street 1:11721 FUQUA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4541
Practice Address - Country:US
Practice Address - Phone:281-217-7761
Practice Address - Fax:281-412-0636
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX25057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1159683-02Medicaid
TX00T08YMedicare ID - Type UnspecifiedMICHAEL L MARKOWITZ, PSYD