| |
1100 Gulf Fwy S Ste 114, League City, TX 77573-5148 | |
(281) 332-3937 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1100 Gulf Fwy S Ste 114, League City, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790022119 | 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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2855 Gramercy St Ste 400, Houston, TX 77025-1756 Ph: (713) 668-6828 | 1100 Gulf Fwy S Ste 114, League City, TX 77573-5148 Ph: (281) 332-3937 |