Healthcare Provider Details

I. General information

NPI: 1801880893
Provider Name (Legal Business Name): PAUL HOU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 04/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 NW 67TH ST
LAWTON OK
73505-4202
US

IV. Provider business mailing address

733 NW 67TH ST
LAWTON OK
73505-4202
US

V. Phone/Fax

Practice location:
  • Phone: 580-536-8020
  • Fax: 580-536-8056
Mailing address:
  • Phone: 580-536-8020
  • Fax: 580-536-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3112
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: