Individual
KORD DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1424 FALLBROOK DR, HOUSTON, TX 77038-1846
(346) 754-5070
Mailing address
10511 HONDO HILL RD, HOUSTON, TX 77064-2603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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