Individual
DR. KELLY NGUYEN SANTESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15655 CYPRESS WOOD MEDICAL DR, SUITE 100, HOUSTON, TX 77014-1471
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6949TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205354804
—
TX
Enumeration date
07/25/2006
Last updated
06/17/2021
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