MEDICARE: DR. HONOUR L CESSAC OD

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	5103TG	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1417950759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HONOUR L CESSAC OD

Provider Business Mailing Address
First Line	:	18850 S MEMORIAL DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4288
Country	:	US
Telephone Number	:	713-275-2457
Fax Number	:	713-275-2466

Provider Business Practice Location Address
First Line	:	2600 VIA FORTUNA
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-7990
Country	:	US
Telephone Number	:	512-327-4123
Fax Number	:	512-327-9156

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/26/2015

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