Provider Demographics
NPI:1053512152
Name:TEJANI, AMIN (ABOC)
Entity Type:Individual
Prefix:MR
First Name:AMIN
Middle Name:
Last Name:TEJANI
Suffix:
Gender:M
Credentials:ABOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3368 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4409
Mailing Address - Country:US
Mailing Address - Phone:281-240-5367
Mailing Address - Fax:281-242-1249
Practice Address - Street 1:3368 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-240-5367
Practice Address - Fax:281-242-1249
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145845156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician