| |
902 Frostwood, Suite 256, Houston, TX 77024 | |
(713) 935-9485 | |
(713) 935-0326 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 902 Frostwood, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457374522 | NPI | - | NPPES |
158574701 | Medicaid | TX | |
4894760007 | Other | TX | PALMETTO GBA |
0072KD | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
21502 Merchants Way Ste A, Katy, TX 77449-2515 Ph: (281) 944-2232 | 902 Frostwood, Suite 256, Houston, TX 77024 Ph: (713) 935-9485 |