Provider Demographics
NPI:1689991952
Name:HOUSTON, MARCUS JAMES (MD, MPH)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:JAMES
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5655 COLLEGE AVE STE 317D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1673
Mailing Address - Country:US
Mailing Address - Phone:510-473-5523
Mailing Address - Fax:
Practice Address - Street 1:5655 COLLEGE AVE STE 317D
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1673
Practice Address - Country:US
Practice Address - Phone:510-473-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1285142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry