Individual
KATHY HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
1017 NORTHCLIFF DR, PORTLAND, TX 78374-1918
(361) 537-1683
Mailing address
PO BOX 14, PORTLAND, TX 78374-0014
(361) 537-1683
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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