Individual
BRIAN EXCEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5020 SPACE CENTER BLVD, PASADENA, TX 77505-3966
(713) 575-1800
Mailing address
15902 HIGHWAY 3 APT 2014, WEBSTER, TX 77598-6101
(786) 391-7641
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213142
TX
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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