Individual
JOE KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.P.A.C.,CST/FA
Contact information
Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3394
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3394
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
OP966027
TX
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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