Provider Demographics
NPI:1235023896
Name:MARKS, PATRICIA M (MT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:MARKS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 DOWLEN RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6861
Mailing Address - Country:US
Mailing Address - Phone:409-791-7529
Mailing Address - Fax:
Practice Address - Street 1:4310 DOWLEN RD STE 6
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6861
Practice Address - Country:US
Practice Address - Phone:409-791-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT143421225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist