Provider Demographics
NPI:1366221657
Name:HOUSTON, DONALD ALLAN
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:ALLAN
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5214
Mailing Address - Country:US
Mailing Address - Phone:508-628-6300
Mailing Address - Fax:508-628-6301
Practice Address - Street 1:1181 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5214
Practice Address - Country:US
Practice Address - Phone:508-628-6300
Practice Address - Fax:508-628-6301
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator