Provider Demographics
NPI:1154768984
Name:IMRAN R BAIG OD PLLC
Entity type:Organization
Organization Name:IMRAN R BAIG OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:REHAN
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-477-3427
Mailing Address - Street 1:10415 MIDDLEROSE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3486
Mailing Address - Country:US
Mailing Address - Phone:281-477-3427
Mailing Address - Fax:281-477-3427
Practice Address - Street 1:12205 WEST RD
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065-4522
Practice Address - Country:US
Practice Address - Phone:281-477-3427
Practice Address - Fax:281-477-3427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5709T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty