Individual
MRS. AMY R HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10948 N MAY AVE, B, OKLAHOMA CITY, OK 73120-6223
(405) 751-8889
(405) 751-8966
Mailing address
17 ALLENHURST AVE, OKLAHOMA CITY, OK 73114-7601
(405) 816-9468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
07/17/2012
Last updated
07/17/2012
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