Provider Demographics
NPI:1114069580
Name:WHM EYE ASSOCIATES, P.A.
Entity type:Organization
Organization Name:WHM EYE ASSOCIATES, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-776-7564
Mailing Address - Street 1:3030 UNIVERSITY DR E STE 100
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6147
Mailing Address - Country:US
Mailing Address - Phone:979-776-7564
Mailing Address - Fax:979-776-0873
Practice Address - Street 1:3030 UNIVERSITY DR E STE 100
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6147
Practice Address - Country:US
Practice Address - Phone:979-776-7564
Practice Address - Fax:979-776-0873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0835290-01Medicaid
TX0835290-01Medicaid