Individual
JEFFREY DEAN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 423-3151
Mailing address
PO BOX 32364, KNOXVILLE, TN 37930-2364
(865) 531-6070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10090
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001136
—
NV
Enumeration date
05/15/2006
Last updated
07/08/2007
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