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NPI Code Detail

MEDICARE: YASMINE MOHARER-SANAEI OD

MEDICARE:   YASMINE  MOHARER-SANAEI  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
1152W00000XOptometrist10976TTX

General Provider Information

NPI Number : 1760265128
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMINE MOHARER-SANAEI OD
Provider Business Mailing Address
First Line : 1030 ORCHARD HILL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1128
Country : US
Telephone Number : 832-656-9219
Fax Number :
Provider Business Practice Location Address
First Line : 2366 RICE BLVD STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77005-2646
Country : US
Telephone Number : 713-521-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ YASMINE MOHARER-SANAEI OD” Practice Location

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