Provider Demographics
NPI:1043760267
Name:CUMMINGS, MARLENE (LAC)
Entity type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7575 SAN FELIPE ST
Mailing Address - Street 2:SUITE #110
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1711
Mailing Address - Country:US
Mailing Address - Phone:281-974-5599
Mailing Address - Fax:832-767-6841
Practice Address - Street 1:7575 SAN FELIPE ST
Practice Address - Street 2:SUITE #110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1711
Practice Address - Country:US
Practice Address - Phone:281-974-5599
Practice Address - Fax:832-767-6841
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist