Provider Demographics
NPI:1225594559
Name:MY HEALTH SIGHT
Entity type:Organization
Organization Name:MY HEALTH SIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEW BIZ DEV
Authorized Official - Prefix:
Authorized Official - First Name:EFRAIM
Authorized Official - Middle Name:MEIR
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-753-5679
Mailing Address - Street 1:10101 FONDREN RD STE 112
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4679
Mailing Address - Country:US
Mailing Address - Phone:409-753-5679
Mailing Address - Fax:
Practice Address - Street 1:10101 FONDREN RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4558
Practice Address - Country:US
Practice Address - Phone:832-599-5812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2021-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics