Individual
MR. JASON HEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6100 MAIN ST, MS 548, HOUSTON, TX 77005-1827
(713) 348-6363
Mailing address
6100 MAIN ST, MS 548, HOUSTON, TX 77005-1827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5163
TX
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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