Individual
FABIANO R GORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2630 FOUNTAIN VIEW DR, SUITE 142, HOUSTON, TX 77057-7608
(281) 827-0647
Mailing address
2630 FOUNTAIN VIEW DR, SUITE 142, HOUSTON, TX 77057-7608
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT038213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT038213
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
10/05/2010
Last updated
10/05/2010
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