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6730 Atascocita Rd Ste 101, Humble, TX 77346-1994 | |
(281) 883-4774 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 6730 Atascocita Rd Ste 101, Humble, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972253987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kevin V Pham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619472701 PECOS PAC ID: 9739434010 Enrollment ID: I20180611002226 |
Mailing Address | Practice Location Address |
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6730 Atascocita Rd Ste 101, Humble, TX 77346-1994 Ph: (281) 883-4774 | 6730 Atascocita Rd Ste 101, Humble, TX 77346-1994 Ph: (281) 883-4774 |
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