Provider Demographics
NPI:1144002494
Name:HUGGINS-MYERS, MARCY ALEXSANDRA
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:ALEXSANDRA
Last Name:HUGGINS-MYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22922 RIVER BIRCH DR APT SUITE
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-2819
Mailing Address - Country:US
Mailing Address - Phone:832-797-6931
Mailing Address - Fax:
Practice Address - Street 1:17819 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5419
Practice Address - Country:US
Practice Address - Phone:281-205-7948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2010328225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty