Individual
DALLON LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6431 FANNIN ST RM 5.170, HOUSTON, TX 77030-1501
(713) 500-5116
(713) 500-0648
Mailing address
181 COURTNEA LN, MANCHESTER, TN 37355-3640
(931) 581-0330
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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