Healthcare Provider Details

I. General information

NPI: 1164793410
Provider Name (Legal Business Name): SANA MALIK O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 SOUTHWEST FWY STE 112
HOUSTON TX
77027-7586
US

IV. Provider business mailing address

3800 SOUTHWEST FWY STE 112
HOUSTON TX
77027-7586
US

V. Phone/Fax

Practice location:
  • Phone: 713-360-7095
  • Fax:
Mailing address:
  • Phone: 713-360-7095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7847T
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: