Individual
MR. CALEB WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
409 GREENE ST, WEBSTER, TX 77598-6701
(281) 332-4738
Mailing address
9 MIRA LOMA DR, MANVEL, TX 77578-3347
(903) 279-8531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2141147
TX
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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