Provider Demographics
NPI:1306546965
Name:DUNCAN, MARC DONALD (LMT)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:DONALD
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:MR
Other - First Name:MARCUS
Other - Middle Name:DONALD
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:16626 SEA LARK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-5819
Mailing Address - Country:US
Mailing Address - Phone:281-488-0111
Mailing Address - Fax:
Practice Address - Street 1:16626 SEA LARK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-5819
Practice Address - Country:US
Practice Address - Phone:281-488-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121779225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty