| |
1602 N Fulton St, Wharton, TX 77488-3065 | |
(979) 532-0805 | |
(979) 532-2084 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1602 N Fulton St, Wharton, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760752547 | NPI | - | NPPES |
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 | 1602 N Fulton St, Wharton, TX 77488-3065 Ph: (979) 532-0805 |