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Individual

MARIA KELLY WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
4401 MARTIN LUTHER KING BLVE, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVE, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8771
TX
152W00000X
Optometrist
8771T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112409104
TX
05
339290401
TX
Enumeration date
04/13/2011
Last updated
05/11/2022
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