Provider Demographics
NPI:1578623807
Name:HOUSTON, JAMES THOMAS (LAC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:THOMAS
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:31304 VIA COLINAS
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3901
Mailing Address - Country:US
Mailing Address - Phone:818-879-0411
Mailing Address - Fax:818-991-1730
Practice Address - Street 1:31304 VIA COLINAS
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3901
Practice Address - Country:US
Practice Address - Phone:818-879-0411
Practice Address - Fax:818-991-1730
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC4114171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist