| |
2424 Hamilton St Ste 210, Houston, TX 77004-1203 | |
(346) 616-5035 | |
(346) 616-5152 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2424 Hamilton St Ste 210, 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 |
---|---|---|---|
1437659505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Chike R Mordi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144484858 PECOS PAC ID: 7416003058 Enrollment ID: I20090923000088 |
Provider Name | Emelike U Agomo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659575249 PECOS PAC ID: 2668628298 Enrollment ID: I20120814000122 |
Mailing Address | Practice Location Address |
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2424 Hamilton St Ste 210, Houston, TX 77004-1203 Ph: (346) 616-5035 | 2424 Hamilton St Ste 210, Houston, TX 77004-1203 Ph: (346) 616-5035 |