MEDICARE: DR. SHIRLEY KURIAN PANNAPARA O.D.

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
1	152W00000X	Optometrist	5442TG	TX

General Provider Information

NPI Number	:	1326173345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIRLEY KURIAN PANNAPARA O.D.

Provider Business Mailing Address
First Line	:	8831 LONG POINT RD
Second Line	:	STE 100
City	:	HOUSTON
State	:	TX
Zip	:	77055-3010
Country	:	US
Telephone Number	:	713-465-8353
Fax Number	:	844-272-6562

Provider Business Practice Location Address
First Line	:	8831 LONG POINT RD
Second Line	:	STE 100
City	:	HOUSTON
State	:	TX
Zip	:	77055-3010
Country	:	US
Telephone Number	:	713-465-8353
Fax Number	:	844-272-6562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	09/13/2016

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