Provider Demographics
NPI:1780276691
Name:HOWARD, JUSTIN (PT, DPT, OCS, SCS)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PT, DPT, OCS, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12314 WEDGEHILL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4806
Mailing Address - Country:US
Mailing Address - Phone:979-373-4259
Mailing Address - Fax:
Practice Address - Street 1:3149 SILVERLAKE VILLAGE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8168
Practice Address - Country:US
Practice Address - Phone:713-436-8869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12330302251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic