Kelvin Van Voorst, Od And Stacie Houghtalen, Od, Pa

NPI 1083798342 - Optometrist - 152W00000X

NPI Details
NPI 1083798342
Enumeration Date 10/24/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELVIN MARK KELVIN
Position PRESIDENT
Phone (972) 347-2004
Fax (972) 347-3847
Practice Location
110 NORTH PRESTON ROAD
SUITE 30
PROSPER TX, 75078-8794, US
Phone (972) 347-2004
Fax (972) 347-3847
Business Location
110 NORTH PRESTON ROAD
SUITE 30
PROSPER TX, 75078-8794, US
Phone (972) 347-2004
Fax (972) 347-3847
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 6554TG
Remove 1083798342 NPI Number
 

According to our database, Kelvin Van Voorst, Od And Stacie Houghtalen, Od, Pa NPI is 1083798342, taxonomy code is 152W00000X and license number is 6554TG, license state is located at Texas. Kelvin Van Voorst, Od And Stacie Houghtalen, Od, Pa physically located at 110 North Preston Road, Prosper TX, 75078-8794. NPI Number 1033115704 has the healthcare provider type.

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1083798342 NPI number is provided on an as is basis without warranty of any kind. 1083798342 is maintained by the National Plan & Provider Enumeration System. The contents of Kelvin Van Voorst, Od And Stacie Houghtalen, Od, Pa are for informational purposes only.