TY R HOUSTON

DETROIT, MI
NPI1548821556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704184826)
Enumeration Date2019-06-21
Last Update Date2019-06-21
Business Address
TY R HOUSTON FNP
13100 CORBETT ST
DETROIT, MI 48213-2081
Phone number: 313-575-5542
Mailing Address
TY R HOUSTON FNP
13100 CORBETT ST
DETROIT, MI 48213-2081
Phone number: 313-575-5542
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