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Individual

ANDREW W HOUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1305 AIRPORT FWY STE 205, BEDFORD, TX 76021-6606
(817) 267-6290
(817) 267-0950
Mailing address
1305 AIRPORT FWY STE 205, BEDFORD, TX 76021-6606
(817) 267-6290
(817) 267-0950

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
24431
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24431
TEXAS LICENSE
TX
Enumeration date
10/04/2006
Last updated
03/17/2018
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