DOUGLASS JOHN WACKER

HOUSTON, TX
NPI1790927192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TX  85)
Additional Taxonomies222Z00000X Orthotist
(Licence: TX  85)
Enumeration Date2009-03-31
Last Update Date2016-11-30
Business Address
-- DOUGLASS JOHN WACKER C.P.O.
3900 LA BRANCH ST
HOUSTON, TX 77004-4046
Phone number: 713-524-3949
Mailing Address
-- DOUGLASS JOHN WACKER C.P.O.
3900 LA BRANCH ST
HOUSTON, TX 77004-4046
Phone number: 713-524-3949
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