Individual
MICHAEL B HOUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1746 COLE BLVD STE 150, LAKEWOOD, CO 80401-3267
(303) 914-8800
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003143
CO
363AM0700X
Medical Physician Assistant
3143
CO
363AM0700X
Medical Physician Assistant
PA740
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760647002
—
WY
05
—
201012980A
—
KS
05
—
59271868
—
CO
Enumeration date
07/25/2008
Last updated
02/12/2025
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