Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | ATP88907 | TX |
NPI | 1932603511 |
---|---|
Provider Name | Gerad Parker Howard |
First Address | New Braunfels, TX 78130-3914 |
Second Address | New Braunfels, TX 78130-3914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2018 |
Last Update Date | 20/03/2018 |