Provider Demographics
NPI:1972647352
Name:MARCELLUS, JOHN ELIAS (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ELIAS
Last Name:MARCELLUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4888 LOOP CENTRAL DR
Mailing Address - Street 2:SUITE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2214
Mailing Address - Country:US
Mailing Address - Phone:713-346-1542
Mailing Address - Fax:713-346-1577
Practice Address - Street 1:4888 LOOP CENTRAL DR
Practice Address - Street 2:SUITE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2214
Practice Address - Country:US
Practice Address - Phone:713-346-1542
Practice Address - Fax:713-346-1577
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ43252084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry