Individual
LINDA KAY MATOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
805 WALKER ST, HOUSTON, TX 77002-5715
(713) 654-0042
(713) 654-7123
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3501TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10591249
CAQH
TX
05
—
155143408
—
TX
Enumeration date
02/20/2006
Last updated
11/17/2021
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