| |
14030 Fm 2920 Rd Ste E, Tomball, TX 77377-5555 | |
(281) 351-0744 | |
(281) 351-6929 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 14030 Fm 2920 Rd Ste E, Tomball, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447273388 | NPI | - | NPPES |
0072KD | Other | TX | BLUE CROSS BLUE SHIELD |
158574701 | Medicaid | TX | |
4894760006 | Other | TX | PALMETTO GBA |
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 | 14030 Fm 2920 Rd Ste E, Tomball, TX 77377-5555 Ph: (281) 351-0744 |