Houtkin, Samuel
Houtkin, Samuel is an sole proprietor health care provider with primary practice located at 1311 Wellborn Rd Ste A-300 , College Station TX 77840-4755. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Houtkin, Samuel can be contacted via phone (979) 764-0010.Contact Information
Primary practice address
1311 Wellborn Rd Ste A-300
College Station TX 77840-4755
Phone: (979) 764-0010
Fax: (979) 764-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2238T | Texas |
Profile Details
| NPI number | 1881661478 |
|---|---|
| LBN Legal business name | Houtkin, Samuel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Mar 6th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881661478 | NPPES |
| Texas | MEDICAID | 044493701 | |
| Texas | Other | 410041586 |
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