Individual
JARVIS WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6625 N MAIN ST, HOUSTON, TX 77009-1063
(205) 874-5335
Mailing address
6625 N MAIN ST UNIT G, HOUSTON, TX 77009-1066
(205) 874-5335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
225200000X
Physical Therapy Assistant
Primary
2168262
TX
Other
Enumeration date
12/06/2022
Last updated
05/30/2024
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