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Individual

JEFFREY DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9494 KIRBY DR, HOUSTON, TX 77054-2521
(713) 791-9080
(713) 791-9084
Mailing address
5959 SHALLOWFORD RD STE 443, CHATTANOOGA, TN 37421-2245
(423) 756-2268

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ATP6847
RESNA
Enumeration date
04/26/2018
Last updated
04/26/2018
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