Individual
MR. JACK CAMPBELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5550 HOLLY VIEW DR APT 602, HOUSTON, TX 77091-2761
(832) 551-9185
Mailing address
5550 HOLLY VIEW DR APT 602, HOUSTON, TX 77091-2761
(832) 551-9185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT128401
TX
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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