Provider Demographics
NPI:1417395989
Name:VANHOUTEN, CURTIS MARTIN (DO)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:MARTIN
Last Name:VANHOUTEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:WEIMAR
Mailing Address - State:TX
Mailing Address - Zip Code:78962-2118
Mailing Address - Country:US
Mailing Address - Phone:979-484-2661
Mailing Address - Fax:
Practice Address - Street 1:206 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:WEIMAR
Practice Address - State:TX
Practice Address - Zip Code:78962-2118
Practice Address - Country:US
Practice Address - Phone:979-484-2661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q7496OtherTEXAS MEDICAL BOARD
Q7496OtherTEXAS MEDICAL BOARD