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Individual

ETHAN NATHANIEL PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13711 CHESTER GABLES CT, HOUSTON, TX 77083-6089
(713) 382-1190
Mailing address
13711 CHESTER GABLES CT, HOUSTON, TX 77083-6089

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
43887642
TX

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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