MEDICARE: DR. TERESA CARRERAS 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	7004T	TX

General Provider Information

NPI Number	:	1407018377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA CARRERAS O.D.

Provider Business Mailing Address
First Line	:	8918 ROCKY KNOLL LN
Second Line	:
City	:	ROSENBERG
State	:	TX
Zip	:	77469-4962
Country	:	US
Telephone Number	:	832-407-1908
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 W OAKS MALL STE 136
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-1746
Country	:	US
Telephone Number	:	281-548-1190
Fax Number	:

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	07/01/2008

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