Provider Demographics
NPI:1174313076
Name:PERRY, MARCUS
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:PERRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 S RIDGE RD APT 12206
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2590
Mailing Address - Country:US
Mailing Address - Phone:903-215-6150
Mailing Address - Fax:
Practice Address - Street 1:4450 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2566
Practice Address - Country:US
Practice Address - Phone:903-215-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No172A00000XOther Service ProvidersDriver
No177F00000XOther Service ProvidersLodging
No282J00000XHospitalsReligious Nonmedical Health Care Institution
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No251B00000XAgenciesCase Management
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker
No372500000XNursing Service Related ProvidersChore Provider
No385H00000XRespite Care FacilityRespite Care