| NPI | 1457206237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 748778) |
| Additional Taxonomies | 146E00000X (Licence: TX 748778) |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 171WH0202X Contractor, Home Modifications | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 405300000X Prevention Professional (Licence: TX 748778) | |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2026-02-26 |
| Last Update Date | 2026-02-26 |