Organization
CONRAD F. KELLY, O.D.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD F. KELLY OD (OWNER/OPTOMETRIST)
(713) 450-4446
Entity
Organization
Contact information
Practice address
13750 I-10 EAST, HOUSTON, TX 77015-5929
(713) 450-4446
(713) 450-4864
Mailing address
2352 SPERBER LN, HOUSTON, TX 77003-1553
(713) 450-4446
(713) 450-4864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3058TG
TX
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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