Individual
THOMAS MICHAEL HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5755 MONCLOVA RD, MAUMEE, OH 43537-1837
(419) 893-2663
(419) 893-7941
Mailing address
5755 MONCLOVA RD, MAUMEE, OH 43537-1837
(419) 893-2663
(419) 893-7941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301039592
MI
207X00000X
Orthopaedic Surgery Physician
Primary
44190
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000285862
ANTHEM
OH
01
—
00778
PARAMOUNT
OH
05
—
0419283
—
OH
01
—
200044058
CHAMPUS
OH
01
—
4002451
AETNA
OH
01
—
P00648106
RRMC
OH
Enumeration date
10/11/2006
Last updated
05/01/2012
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