Individual
NOAH DWAYNE SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20639 KUYKENDAHL RD STE 200, SPRING, TX 77379-3587
(832) 698-0111
Mailing address
9458 LAIDEN CREEK TRL, CONROE, TX 77303-2047
(903) 390-1605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4063543
TX
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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