| |
1601 Highway 59 Loop N Ste 100, Livingston, TX 77351-6687 | |
(936) 327-3937 | |
(936) 327-7847 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1601 Highway 59 Loop N Ste 100, Livingston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144697764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 659506, Dept 2181, San Antonio, TX 78265-9506 Ph: (713) 275-2461 | 1601 Highway 59 Loop N Ste 100, Livingston, TX 77351-6687 Ph: (936) 327-3937 |