Provider Demographics
NPI:1124316146
Name:MEHTA, HIRAL (OD)
Entity type:Individual
Prefix:DR
First Name:HIRAL
Middle Name:
Last Name:MEHTA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 RAYFORD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386
Mailing Address - Country:US
Mailing Address - Phone:281-719-9926
Mailing Address - Fax:281-713-9957
Practice Address - Street 1:2833 RAYFORD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386
Practice Address - Country:US
Practice Address - Phone:281-719-9926
Practice Address - Fax:281-713-9957
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7714T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist