Provider Demographics
NPI:1033343165
Name:EYE HEALTH & SURGICAL CARE
Entity Type:Organization
Organization Name:EYE HEALTH & SURGICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:
Authorized Official - First Name:NIMISHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-529-3867
Mailing Address - Street 1:3100 TIMMONS LANE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5938
Mailing Address - Country:US
Mailing Address - Phone:713-529-3867
Mailing Address - Fax:713-529-2121
Practice Address - Street 1:3100 TIMMONS LANE
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5938
Practice Address - Country:US
Practice Address - Phone:713-529-3867
Practice Address - Fax:713-529-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0979207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A3957Medicare PIN