Individual
KAYCI HOULETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3635 S SONCY RD, AMARILLO, TX 79119-6402
(806) 356-6868
(806) 351-0120
Mailing address
3635 S SONCY RD, AMARILLO, TX 79119-6402
(806) 356-6868
(806) 351-0120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX9663T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TX9663T
OPTOMETRIST
TX
Enumeration date
07/11/2019
Last updated
07/11/2019
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