Individual provider · Type 1 NPI

Mark William Houston, PA-C

Surgical Physician Assistant · Pensacola, FL

NPI number 1366436362 Active

Practice location

4012 N 9th Ave
Pensacola, FL 32503-2824

Call (850) 444-4777 Map

Fax (850) 434-3387

Mailing address

11945 San Jose Blvd, Ste 300
Jacksonville, FL 32223-1613

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9102607 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1366436362

Mark William Houston, PA-C's National Provider Identifier is 1366436362, issued on Sep 6, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pensacola, FL. The record was last updated on Nov 4, 2016.