Individual
JUSTIN ONTEZ HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MES-A
Contact information
Practice address
15377 MEMORIAL DR STE 137, HOUSTON, TX 77079-4141
(281) 795-5090
Mailing address
21811 REDWOOD BLUFF TRL, CYPRESS, TX 77433-7410
(281) 795-5090
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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