Individual
MR. DOUGLAS HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BODIN CIR RM 4A404, TRAVIS AFB, CA 94535-1802
(707) 423-3434
Mailing address
1648 MAYBERRY CT, FAIRFIELD, CA 94533-3501
(707) 423-3434
(707) 437-1849
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
090000673RN
OR
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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