Provider Demographics
NPI:1407157910
Name:CUEVAS, MARY JANE (OD)
Entity Type:Individual
Prefix:
First Name:MARY JANE
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7438 HARRISBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-4741
Mailing Address - Country:US
Mailing Address - Phone:713-928-3375
Mailing Address - Fax:713-928-6173
Practice Address - Street 1:7438 HARRISBURG BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4741
Practice Address - Country:US
Practice Address - Phone:713-928-3375
Practice Address - Fax:713-928-6173
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7551TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist