Individual
DARLENE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12041 DESSAU RD, APT 1909, AUSTIN, TX 78754-1700
(512) 887-3900
Mailing address
12041 DESSAU RD, APT 1909, AUSTIN, TX 78754-1700
(512) 887-3900
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
07727Y87
WA
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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