MEDICARE: EYE PHYSICIANS OF NORTH HOUSTON PA

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	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00744K	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689785958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE PHYSICIANS OF NORTH HOUSTON PA

Provider Business Mailing Address
First Line	:	21313 FOSTER RD STE A
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4209
Country	:	US
Telephone Number	:	281-893-1760
Fax Number	:	281-893-4037

Provider Business Practice Location Address
First Line	:	21313 FOSTER RD STE A
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4209
Country	:	US
Telephone Number	:	281-893-1760
Fax Number	:	281-893-4037

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN CK AU
Credential	:	MD
Telephone Number	:	281-893-1760

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/19/2023

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