Healthcare Provider Details

I. General information

NPI: 1235165598
Provider Name (Legal Business Name): TROY RAY HOUNSHELL PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 S LOOP 289 STE 101
LUBBOCK TX
79423-1337
US

IV. Provider business mailing address

6015 76TH ST
LUBBOCK TX
79424-1745
US

V. Phone/Fax

Practice location:
  • Phone: 806-792-5522
  • Fax: 806-785-7582
Mailing address:
  • Phone: 806-748-0349
  • Fax: 806-748-0349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: