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Jacory Proctor
NPI 1477162337 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3545 Mainer St
Houston, TX 77021 - Phone
- (713) 493-1364
- Organisation at this address
- Funnel Cake And Beignet Factory
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Male
- Record last updated
- 2020-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas