Healthcare Provider Details

I. General information

NPI: 1396395364
Provider Name (Legal Business Name): HOPE EYE CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 SOUTHWEST FWY STE 100
HOUSTON TX
77027-7163
US

IV. Provider business mailing address

4645 SOUTHWEST FWY STE 100
HOUSTON TX
77027-7163
US

V. Phone/Fax

Practice location:
  • Phone: 713-467-3393
  • Fax: 832-467-3393
Mailing address:
  • Phone: 713-467-3393
  • Fax: 832-467-3393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NAN WANG
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 832-677-0373