Individual
ROBERT E. HOUSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
212 JANICE ST, JACKSONVILLE, AR 72076-4812
(501) 982-5014
Mailing address
212 JANICE ST, JACKSONVILLE, AR 72076-4812
(501) 982-5014
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L32068
AR
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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