Male or Other

John T. Houston MD

Family Medicine Physician in Mobile, AL(View on Map)

Full Name

John Temple Houston MD

NPI Number

1841201274

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/10/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama
Florida
Illinois

License Number

21707
ME76790
036095495

Contact
Information

Purpose

Mailing
Location

Address

5320 HWY 90 SERVICE ROAD
2423 SCHILLINGER RD S

City

Mobile
Mobile

State

AL
AL

Postal Code

36619
36695-4136

Country

US
US

Telephone Number

(251) 602-1667
(251) 633-5782

Identifiers

Identifier

051542410

Identifier State

AL

Identifier Issuer

BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/19/2008

Provider Address

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