Provider Demographics
NPI:1407045677
Name:NEURO-OPHTHALMOLOGY OF TEXAS PLLC
Entity Type:Organization
Organization Name:NEURO-OPHTHALMOLOGY OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-942-2187
Mailing Address - Street 1:2726 BISSONNET ST # 240-228
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1319
Mailing Address - Country:US
Mailing Address - Phone:713-942-2187
Mailing Address - Fax:713-942-0265
Practice Address - Street 1:5400 BISSONNET ST STE A
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3952
Practice Address - Country:US
Practice Address - Phone:713-942-2187
Practice Address - Fax:713-942-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4710207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER