Individual
SAMUEL AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10821 FM 2709, EUSTACE, TX 75124-3703
(903) 681-6646
Mailing address
10821 FM 2709, EUSTACE, TX 75124-3703
(903) 681-6646
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132300
TX
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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