Individual
JAMES HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2844 TRACELAND DR, TUPELO, MS 38801-4200
(662) 680-3148
(877) 276-4918
Mailing address
102 MANDI DR, SALTILLO, MS 38866-8739
(662) 680-3148
(877) 276-4918
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OT0624
MS
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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