MR. MARCUS GERARD TRAVIS (NPI# 1467791533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791533 |
| Entity Type | Individual |
| Full Name | MR. MARCUS GERARD TRAVIS |
| Credential | CST., CSA |
| Practice Address |
6811 Orville St Houston TX 77028-2139 |
| Practice Telephone | 8326548459 |
| Mailing Telephone | 8326548459 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
363AS0400X | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6811 ORVILLE ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77028-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920389 | Kq Nets | Home Health | 7981 Little Street, Houston, TX 77028 | 2017-09-06 |
| 1215467980 | Ellis Arnette Grimes | Nurse Practitioner | 3751 South Dairy Ashford Rd, Houston, TX 77028 | 2017-06-15 |
| 1881004471 | Quicc Express Mobile Phlebotomy | Clinical Medical Laboratory | 6724 Kittridge St, Houston, TX 77028 | 2014-05-05 |
| 1215264627 | A-tap, Inc | Assisted Living Facility | 9318 Mesa Drive, Houston, TX 77028 | 2009-11-05 |
| 1508087347 | Freddie N Davis | Dentist | 5534 North Wayside Drive, Houston, TX 77028 | 2007-05-01 |
| 1790817377 | A&s Community Development | Assisted Living Facility | 8211 Dockal Rd, Houston, TX 77028 | 2007-03-10 |
| 1376061796 | Kinsley Queen Inc. | Chiropractor | 7981 Little Street, Houston, TX 77028 | 2017-09-06 |
| 1194973297 | Quality Healthcare Center | Community Based Residential Treatment Facility, Mental Illness | 7829 Venida St, Houston, TX 77028-1016 | 2008-09-03 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1518966050 | Abe R. Rice | Pharmacist | 9105 N Wayside Dr, Houston, TX 77028-1030 | 2005-07-18 |
| Find all providers in zip 77028 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1619526563 | Uma Surgical Assistant Services, LLC. | Physician Assistant | 4517 Benning Dr, Houston, TX 77035-6005 | 2019-09-04 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1558829598 | Charlotte Peeters | Physician Assistant | 6621 Fannin St Ste D0600.33, Houston, TX 77030-2358 | 2019-03-08 |
| 1689148702 | Erin Danielle Schulte | Physician Assistant | 3 Hermann Museum Circle Dr Apt 4414, Houston, TX 77004-7969 | 2019-01-12 |
| 1972074532 | Nationwide Surgical Resources LLC | Physician Assistant | 7600 Burgoyne Rd Unit 207, Houston, TX 77063-3104 | 2018-12-07 |
| 1891264446 | Taylor K Rubin | Physician Assistant | 1140 Business Center Dr Ste 101, Houston, TX 77043-2740 | 2018-11-13 |
| 1679049522 | Jacob Paul Landry | Physician Assistant | 18108 S Parkview Dr Apt I17, Houston, TX 77084-6578 | 2018-10-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.