Provider Demographics
NPI:1235806217
Name:RABON, TROY (MAT, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:TROY
Middle Name:
Last Name:RABON
Suffix:
Gender:M
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 UVALDE RD # N16.107
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-4513
Mailing Address - Country:US
Mailing Address - Phone:281-998-6150
Mailing Address - Fax:281-459-7606
Practice Address - Street 1:5800 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-4513
Practice Address - Country:US
Practice Address - Phone:281-998-6150
Practice Address - Fax:281-459-7606
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT84642255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer