| |
1213 Hermann Dr Ste 110, Houston, TX 77004-7008 | |
(713) 797-1500 | |
(713) 797-1150 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1213 Hermann Dr Ste 110, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114193828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6115TG (Texas) | Secondary |
207W00000X | Ophthalmology | J3593 (Texas) | Primary |
Mailing Address | Practice Location Address |
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3405 Edloe St Ste 300, Houston, TX 77027-6513 Ph: (713) 797-1500 | 1213 Hermann Dr Ste 110, Houston, TX 77004-7008 Ph: (713) 797-1500 |