Individual provider · Type 1 NPI

Lydia Danielle Breedlove

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1194242545 Active

Practice location

12310 Rincon Drive
Houston, TX 77077

Call (832) 377-9378 Map

Mailing address

12310 Rincon Dr
Houston, TX 77077-4828

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X36442954 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000X36442954 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194242545

Lydia Danielle Breedlove's National Provider Identifier is 1194242545, issued on Aug 26, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Jul 21, 2022.