Houtz, Carlton Gregory

Houtz, Carlton Gregory is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop Suite # 210, Shreveport LA 71105-5634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Houtz, Carlton Gregory can be contacted via phone (318) 798-4623.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Suite # 210 Shreveport LA 71105-5634
Fax: (318) 798-4646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME 101035 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 204411 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 204411 Louisiana

Profile Details

NPI number 1063673424
LBN Legal business name Houtz, Carlton Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Dec 11th, 2020 - about 4 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 1063673424 NPPES
Louisiana MEDICAID 2163795

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