Kelvin Van Voorst, Od and Stacie Houghtalen, Od, PA

NPI #1083798342 in Prosper, Texas

Provider Information

NPI Number: 1083798342
Entity Type: Organization
Organization Name: Kelvin Van Voorst, Od and Stacie Houghtalen, Od, PA
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 110 NORTH PRESTON ROAD
Address 2: SUITE 30
City: Prosper
State: Texas
ZIP Code: 75078-8794
Phone: (972) 347-2004

Authorized Official

Name: DR. KELVIN MARK VAN VOORST, O.D.
Title: PRESIDENT
Phone: (972) 347-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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