Provider Demographics
NPI:1003851452
Name:PALERMO, HERNAN A (OD)
Entity Type:Individual
Prefix:
First Name:HERNAN
Middle Name:A
Last Name:PALERMO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6699 CHIMNEY ROCK RD
Mailing Address - Street 2:201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5358
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6699 CHIMNEY ROCK RD
Practice Address - Street 2:103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5358
Practice Address - Country:US
Practice Address - Phone:713-661-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05918TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist