Provider Demographics
NPI:1316958226
Name:JOINER, MARVIN Q (LMT, KT)
Entity type:Individual
Prefix:MR
First Name:MARVIN
Middle Name:Q
Last Name:JOINER
Suffix:
Gender:M
Credentials:LMT, KT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25311 KINGSLAND BLVD # 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7347
Mailing Address - Country:US
Mailing Address - Phone:281-496-7246
Mailing Address - Fax:281-496-7244
Practice Address - Street 1:11231 RICHMOND AVE
Practice Address - Street 2:STE D110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6656
Practice Address - Country:US
Practice Address - Phone:281-496-7246
Practice Address - Fax:281-496-7244
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017023172M00000X
TXMT017023225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMT017023OtherLICENSE #