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Individual

DELSHAVEON MASTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2802 W TC JESTER BLVD, APT 1, HOUSTON, TX 77018
(713) 256-1714
Mailing address
2802 W T C JESTER BLVD APT 1, HOUSTON, TX 77018-7035
(832) 228-8242

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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