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NPI Code Detail

MEDICARE: TEXAS LASIK PLLC

MEDICARE: TEXAS LASIK PLLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1952815870
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS LASIK PLLC
Provider Business Mailing Address
First Line : 926 N WILCREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77079-3504
Country : US
Telephone Number : 713-661-6500
Fax Number : 713-661-6527
Provider Business Practice Location Address
First Line : 926 N WILCREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77079-3504
Country : US
Telephone Number : 713-661-6500
Fax Number : 713-665-6527
Authorized Official
Title or Position : CONSULTANT
Name : EUDE A OSSORIO
Credential : CONSULTANT
Telephone Number : 832-934-1166
Provider Enumeration Date : 11/30/2017
Last Update Date : 11/30/2017

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Directions to “TEXAS LASIK PLLC ” Practice Location

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