Mini John Od Pllc | |
2755 Texas Pkwy, Missouri City, TX 77489-5105 | |
(281) 300-2109 | |
(713) 995-0548 |
Full Name | Mini John Od Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2755 Texas Pkwy, Missouri City, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043522816 | NPI | - | NPPES |
6184TG | Other | TX | TEXAS OPTOMETRY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6184TG (Texas) | Primary |
Provider Name | Mini John |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215902200 PECOS PAC ID: 5496949182 Enrollment ID: I20101026001452 |
Mailing Address | Practice Location Address |
---|---|
Mini John Od Pllc 2755 Texas Pkwy, Missouri City, TX 77489-5105 Ph: (281) 300-2109 | Mini John Od Pllc 2755 Texas Pkwy, Missouri City, TX 77489-5105 Ph: (281) 300-2109 |
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