JUNIOR EDMOND

SUGAR LAND, TX
NPI1669018701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA16018)
Additional Taxonomies363AM0700X Physician Assistant Medical
Enumeration Date2019-11-25
Last Update Date2024-12-03
Business Address
JUNIOR EDMOND PA-C
1403 HIGHWAY 6
SUGAR LAND, TX 77478-4930
Phone number: 832-260-0640
Mailing Address
JUNIOR EDMOND PA-C
1403 HIGHWAY 6
SUGAR LAND, TX 77478-4930
Phone number: 954-274-8138