Individual
KELSEA VANCE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8800 KATY FWY STE 107, HOUSTON, TX 77024-1645
(713) 827-8311
(713) 827-7488
Mailing address
5950 KIAM ST UNIT D, HOUSTON, TX 77007-1081
(903) 456-9603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9171T
TX
152W00000X
Optometrist
Primary
9171TG
TX
Other
Enumeration date
06/28/2017
Last updated
06/02/2022
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