Individual
MR. JIMMY R. HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2115 BROOKHAVEN DR, DALLAS, TX 75224-2201
(214) 948-3833
Mailing address
2115 BROOKHAVEN DR, DALLAS, TX 75224-2201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
152918
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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