Individual
HUMBERTO JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 HILLENDAHL BLVD, HOUSTON, TX 77055-3402
(713) 365-0561
Mailing address
7555 CLUB LAKE DR, HOUSTON, TX 77095-2646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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