MEDICARE: DR. LILIANA CERVANTES KARIM 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	6503TG	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	:	1851350789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILIANA CERVANTES KARIM OD

Provider Business Mailing Address
First Line	:	1810 WIRT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-2407
Country	:	US
Telephone Number	:	713-290-9900
Fax Number	:	713-290-9932

Provider Business Practice Location Address
First Line	:	1810 WIRT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-2407
Country	:	US
Telephone Number	:	713-290-9900
Fax Number	:	713-290-9932

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

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	11/08/2024

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