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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
5625 EIGER RD STE 100, AUSTIN, TX 78735-8978
(512) 443-9715
(512) 443-9845
Mailing address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G2318
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811133507
NPI 2
TX
05
200101801
TX
Enumeration date
05/29/2014
Last updated
08/10/2023
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