Individual
DR. JOHN KEITH BRAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PTA
Contact information
Practice address
17615 CYPRESS LAUREL ST, HOUSTON, TX 77095-4777
(832) 563-1578
Mailing address
17615 CYPRESS LAUREL ST, HOUSTON, TX 77095-4777
(832) 563-1578
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2094020
TX
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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