Individual
DEIDRA MICHELLE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1207 16TH ST, SEAGRAVES, TX 79359-1347
(806) 893-1714
Mailing address
PO BOX 1347, SEAGRAVES, TX 79359-1347
(806) 893-1714
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
233142
TX
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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