JACOB ELLIS FORKER

HOUSTON, TX
NPI1063875151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT3298)
Enumeration Date2016-04-05
Last Update Date2016-04-05
Business Address
Mr. JACOB ELLIS FORKER LAT, ATC
7555 HOWELL SUGAR LAND RD
HOUSTON, TX 77083-3338
Phone number: 281-541-1849
Mailing Address
Mr. JACOB ELLIS FORKER LAT, ATC
5802 STERN SPRINGS LN
FULSHEAR, TX 77441-2049
Phone number:
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