Individual
DR. KOURTNEY HENDERSON HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 MADISON AVE STE 200, MEMPHIS, TN 38103
(901) 448-6650
Mailing address
HAMILTON EYE INSTITUTE 930 MADISON AVENUE, SUITE 200, MEMPHIS, TN 38103-3452
(901) 448-6650
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
55739
TN
207W00000X
Ophthalmology Physician
Q7558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09775353
—
MS
05
—
1700148053
—
MO
05
—
222061001
—
AR
05
—
Q029795
—
TN
Enumeration date
06/12/2012
Last updated
10/09/2018
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