| |
17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 | |
(281) 363-3443 | |
(936) 271-1361 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 17450 St Lukes Way, The Woodlands, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538182472 | NPI | - | NPPES |
0050MS | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 Ph: (281) 363-3443 | 17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 Ph: (281) 363-3443 |