Houghton, Michelle Suzanne

Houghton, Michelle Suzanne is an individual health care provider with primary practice located at 4102 24Th St Suite 504, Lubbock TX 79410-1806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Houghton, Michelle Suzanne can be contacted via phone (806) 725-6550.

Contact Information

Primary practice address
4102 24Th St Suite 504 Lubbock TX 79410-1806
Phone: (806) 725-6550
Fax: (806) 723-7493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 540577 Texas

Profile Details

NPI number 1265403315
LBN Legal business name Houghton, Michelle Suzanne
Credentials RN MSN FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265403315 NPPES
Texas MEDICAID 143761801
Texas MEDICAID 40258238

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