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Individual

JOHN TEMPLE HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2423 SCHILLINGER RD S, STE 103, MOBILE, AL 36695-4136
(251) 633-5782
(251) 633-5364
Mailing address
5320 HWY 90 SERVICE ROAD, MOBILE, AL 36619
(251) 602-1667
(251) 602-5660

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036095495
IL
207Q00000X
Family Medicine Physician
Primary
21707
AL
207Q00000X
Family Medicine Physician
ME76790
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051542410
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/10/2006
Last updated
06/19/2008
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