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NPI Code Detail

MEDICARE: UNIVERSITY OF HOUSTON SYSTEM

MEDICARE: UNIVERSITY OF HOUSTON SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174660260
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF HOUSTON SYSTEM
Provider Business Mailing Address
First Line : 2525 LUCAS DR
Second Line : BUILDING 3
City : DALLAS
State : TX
Zip : 75219-1804
Country : US
Telephone Number : 214-528-7354
Fax Number : 214-528-7387
Provider Business Practice Location Address
First Line : 2525 LUCAS DR
Second Line : BUILDING 3
City : DALLAS
State : TX
Zip : 75219-1804
Country : US
Telephone Number : 214-528-7354
Fax Number : 214-528-7387
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : DR. JOE W DELOACH
Credential : OD
Telephone Number : 214-528-7354
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/18/2016

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Directions to “UNIVERSITY OF HOUSTON SYSTEM ” Practice Location

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