Individual
JESSE DAVID CARLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
303 LANTERN BEND DR, HOUSTON, TX 77090-2823
(518) 852-4284
Mailing address
16912 TABLELAND TRL, CONROE, TX 77385-2010
(518) 852-4284
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2110477
TX
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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