Provider Demographics
NPI:1427172386
Name:HSU, ANNIE CH (OD)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:CH
Last Name:HSU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:CHIAHUNG
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1206 COLONY LAKES DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4006
Mailing Address - Country:US
Mailing Address - Phone:832-524-6729
Mailing Address - Fax:
Practice Address - Street 1:12710 W. LAKE HOUSTON PKWAY
Practice Address - Street 2:STE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-6280
Practice Address - Country:US
Practice Address - Phone:281-436-1800
Practice Address - Fax:281-436-0611
Is Sole Proprietor?:No
Enumeration Date:2007-03-18
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6646TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist