Provider Demographics
NPI:1194989764
Name:HOWARD, DANA MICHELLE (OD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MICHELLE
Last Name:HOWARD
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 1:5939 KIAM ST UNIT 6F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1072
Mailing Address - Country:US
Mailing Address - Phone:713-562-0521
Mailing Address - Fax:
Practice Address - Street 1:5535 MEMORIAL DR STE I
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8023
Practice Address - Country:US
Practice Address - Phone:281-888-9256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7272T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist