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3331 Meridiana Parkway, Suite 800, Rosharon, TX 77583 | |
(346) 522-2015 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 3331 Meridiana Parkway, Rosharon, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982125316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Hong Kim Ly |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265814305 PECOS PAC ID: 1456627421 Enrollment ID: I20171018001909 |
Provider Name | Phuong T Pham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932753027 PECOS PAC ID: 1850715483 Enrollment ID: I20200715003473 |
Mailing Address | Practice Location Address |
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3331 Meridiana Parkway, Suite 800, Rosharon, TX 77583 Ph: (346) 522-2015 | 3331 Meridiana Parkway, Suite 800, Rosharon, TX 77583 Ph: (346) 522-2015 |
Dr. Hong Kim Ly, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3331 Meridiana Parkway, Suite 800, Rosharon, TX 77583 Phone: 346-522-2015 |