Provider Demographics
NPI:1497015010
Name:PEOPLES, MARLON ANTWON (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:MARLON
Middle Name:ANTWON
Last Name:PEOPLES
Suffix:
Gender:
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 SUMMER CITY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-3417
Mailing Address - Country:US
Mailing Address - Phone:713-703-2319
Mailing Address - Fax:
Practice Address - Street 1:9563 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-4531
Practice Address - Country:US
Practice Address - Phone:713-703-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1189850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist