Individual
YANNI JOSEPH THEODOSIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 BOWERS BLVD, HUNTSVILLE, TX 77341-0001
(832) 538-7223
Mailing address
4620 TILSON LN, HOUSTON, TX 77041-9231
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
37147070
TX
390200000X
Student in an Organized Health Care Education/Training Program
37147070
TX
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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