| Wayne B. Houston, M.D., P.A. | |
|
4570 San Juan Ave Suite 2 Jacksonville FL 32210-2051 | |
| (904) 388-8844 | |
| Not Available |
| Full Name | Wayne B. Houston, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4570 San Juan Ave, Jacksonville, Florida |
| Authorized Official Name and Position | Wayne Bradley Houston (PRESIDENT) |
| Authorized Official Contact | 9043888844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne B. Houston, M.D., P.A. 4570 San Juan Ave Suite 2 Jacksonville FL 32210-2051 Ph: (904) 388-8844 | Wayne B. Houston, M.D., P.A. 4570 San Juan Ave Suite 2 Jacksonville FL 32210-2051 Ph: (904) 388-8844 |
| NPI Number | 1831333186 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831333186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0055161 (Florida) | Primary |
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