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Individual

KYLE JACOB HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NREMT

Contact information

Practice address
101 VIA TUSA, SANTA BARBARA, CA 93105-1900
(619) 994-2783
Mailing address
735 TANK FARM RD STE 220, SAN LUIS OBISPO, CA 93401-7073

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E199162
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
E199162
CA

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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