Individual
MR. JERRY L WASHINGTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
3919 KNOTTYNOLD LN, HOUSTON, TX 77053-1408
(832) 723-5851
(713) 795-5680
Mailing address
3919 KNOTTYNOLD LN, HOUSTON, TX 77053-1408
(832) 723-5851
(713) 795-5680
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
11368148
TX
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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