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Individual

LUCY EBUNOLUWA KEHINDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003808A
IN
152W00000X
Optometrist
Primary
8540
TX
152W00000X
Optometrist
8540TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
346519701
TX
Enumeration date
07/09/2013
Last updated
05/17/2022
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