Individual
JUSTIN ZEBULON LAFERRIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS, CSCS
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2154
Mailing address
136 SEFORD DR, SAN ANTONIO, TX 78209-6035
(401) 261-5236
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
PT01734
RI
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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