Individual
FRANK JESSE SPATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
135 OYSTER CREEK DR STE P, LAKE JACKSON, TX 77566-4118
(979) 480-1093
Mailing address
8902 STEPHEN F AUSTIN RD, FREEPORT, TX 77541-9781
(972) 839-8507
(979) 429-4020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4039315-01
—
TX
Enumeration date
08/01/2007
Last updated
08/19/2021
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