| |
4704 Montrose Blvd, Houston, TX 77006-6122 | |
(713) 333-0151 | |
(832) 485-5080 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4704 Montrose Blvd, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043236938 | NPI | - | NPPES |
119853303 | Medicaid | TX |
Provider Name | Michael L Suber |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871547679 PECOS PAC ID: 2769471531 Enrollment ID: I20040507000421 |
Provider Name | Thomas G Iszard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871625103 PECOS PAC ID: 7315029303 Enrollment ID: I20080130000149 |
Provider Name | Charles Garcia |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821093626 PECOS PAC ID: 0143120451 Enrollment ID: I20101203000315 |
Provider Name | Rania Harb |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043566839 PECOS PAC ID: 8224333240 Enrollment ID: I20160229001309 |
Provider Name | Lara Fady |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104425743 PECOS PAC ID: 9032519020 Enrollment ID: I20210614000560 |
Provider Name | Stephanie Saca Handal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871177196 PECOS PAC ID: 0143622571 Enrollment ID: I20210708000625 |
Provider Name | Hasan Mosa Abdullah Mohidat |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295490720 PECOS PAC ID: 4688066111 Enrollment ID: I20220113000940 |
Provider Name | Frank C Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932163839 PECOS PAC ID: 0143264648 Enrollment ID: I20230606000593 |
Provider Name | Savaira Patoli |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730870429 PECOS PAC ID: 8426581604 Enrollment ID: I20241025002792 |
Mailing Address | Practice Location Address |
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12970 East Fwy, Houston, TX 77015-5710 Ph: (281) 332-1559 | 4704 Montrose Blvd, Houston, TX 77006-6122 Ph: (713) 333-0151 |