Individual
RICHARD MACEYRA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9401 COVENTRY SQUARE DR, 124, HOUSTON, TX 77099-1455
(254) 413-1965
Mailing address
9401 COVENTRY SQUARE DR, 124, HOUSTON, TX 77099-1455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5743
TX
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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