Organization Active NPI

Marr Physical Medicine Pain and Injury Center

  • Chiropractor
  • League City, TX
National Provider Identifier
1316186786
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5906 Issued in TX
Legal business name
MARR PHYSICAL MEDICINE PAIN AND INJURY CENTER
Practice address
3480 W Main St
League City, TX 77573-1826
Phone
(281) 554-5575
Fax
(281) 557-8925
NPI assigned
Feb 9, 2009
Organization subpart
Yes
Parent organization
DR. GLENN MARRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Glenn Marr, DC
Title
Owner/Doctor
Phone
(281) 554-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5906 TX Primary

Addresses

Primary practice location

3480 W Main St
League City, TX 77573-1826

Mailing address

3480 W Main St
League City, TX 77573-1826
Phone (281) 554-5575

Other identifiers 1

IdentifierTypeStateIssuer
1225255045OtherTXNPI

National Provider Directory

National Provider Directory
Part of
Marr Physical Medicine Pain

Locations

3480 W Main St
League City, TX 77573
Phone (281) 554-5575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1316186786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731826",
            "telephone_number": "281-554-5575",
            "fax_number": "281-557-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 W MAIN ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731826",
            "telephone_number": "281-554-5575",
            "fax_number": "281-557-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARR PHYSICAL MEDICINE PAIN AND INJURY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. GLENN MARR",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "281-554-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225255045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.