MEDICARE: MR. ALEXANDER ATUESTA

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	156FX1800X	Optician	162140	TX

General Provider Information

NPI Number	:	1578823209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXANDER ATUESTA

Provider Business Mailing Address
First Line	:	7921 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1905
Country	:	US
Telephone Number	:	713-468-5665
Fax Number	:	713-468-6365

Provider Business Practice Location Address
First Line	:	7921 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1905
Country	:	US
Telephone Number	:	713-468-5665
Fax Number	:	713-468-6365

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

Provider Enumeration Date	:	05/29/2012
Last Update Date	:	03/11/2026

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Directions to “ MR. ALEXANDER ATUESTA ” Practice Location

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