Individual
MR. PAUL TEBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3975 STATE HIGHWAY 6 S, COLLEGE STATION, TX 77845-5895
(979) 696-2000
Mailing address
3975 STATE HIGHWAY 6 S, COLLEGE STATION, TX 77845-5895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT109074
TX
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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