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Individual

GEORGE JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MT

Contact information

Practice address
11221 RICHMOND AVE, C111A, HOUSTON, TX 77082-6655
(281) 809-0707
Mailing address
PO BOX 705, SIMONTON, TX 77476-0705
(281) 809-0707

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT113068
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT113068
LICENSE MASSAGE THERAPIST
TX
Enumeration date
02/02/2012
Last updated
02/02/2012
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