| |
22741 Professional Drive, Kingwood, TX 77339-6005 | |
(281) 319-4334 | |
(281) 319-4855 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 22741 Professional Drive, Kingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720011497 | NPI | - | NPPES |
158574701 | Medicaid | TX | |
4894760008 | 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 |
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21502 Merchants Way Ste A, Katy, TX 77449-2515 Ph: (281) 944-2232 | 22741 Professional Drive, Kingwood, TX 77339-6005 Ph: (281) 319-4334 |