Healthcare Provider Details
I. General information
NPI: 1144291725
Provider Name (Legal Business Name): JO ROBIN HARRIS SZABO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/31/2006
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14700 FM 2100 RD STE 3
CROSBY TX
77532-9161
US
IV. Provider business mailing address
14700 FM 2100 RD STE 3
CROSBY TX
77532-9161
US
V. Phone/Fax
- Phone: 281-328-2020
- Fax: 281-328-8394
- Phone: 281-328-2020
- Fax: 281-328-8394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 5861T.G. |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: