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Organization

HOWERTON EYE CLINIC PLLC

Active
Parent organization
HOWERTON EYE CLINIC PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOWERTON EYE CLINIC PLLC
Authorized official
DR. SCOTT DOUGLAS KELLY MD (AUTHORIZED OFFICIAL)
(512) 443-9715
Entity
Organization

Contact information

Practice address
4282 S FM 1626 STE 200, KYLE, TX 78640-3288
(512) 443-9715
(512) 443-9845
Mailing address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811133507
NPI 2
TX
05
200101801
TX
Enumeration date
02/21/2023
Last updated
08/10/2023
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