| |
9700 Bissonnet St Ste 1000w, Houston, TX 77036-8001 | |
(832) 828-1541 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 9700 Bissonnet St Ste 1000w, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629498498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 301011, Houston, TX 77230-1011 Ph: () - | 9700 Bissonnet St Ste 1000w, Houston, TX 77036-8001 Ph: (832) 828-1541 |