Individual
MR. ANTHONY HOUSTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
IN
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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