Provider Demographics
NPI: | 1699339796 |
---|---|
Name: | TEXAS VISION ASSOCIATES PLLC |
Entity type: | Organization |
Organization Name: | TEXAS VISION ASSOCIATES PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OD |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ZUBIN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JIWANI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OD |
Authorized Official - Phone: | 713-340-0000 |
Mailing Address - Street 1: | 736 HIGHWAY 6 STE 101 |
Mailing Address - Street 2: | |
Mailing Address - City: | SUGAR LAND |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77478-5103 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-340-0000 |
Mailing Address - Fax: | 281-240-0479 |
Practice Address - Street 1: | 15800 SOUTH FWY |
Practice Address - Street 2: | |
Practice Address - City: | PEARLAND |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77584-1834 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-240-0478 |
Practice Address - Fax: | 281-240-0479 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | SUGARLAND EYE & LASER CENTER PROFESSIONAL ASSOCIATION |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2019-04-24 |
Last Update Date: | 2019-09-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Multi-Specialty |