Provider Demographics
NPI:1417261801
Name:BISEN, RASHMI (OD)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:BISEN
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 1:1900 W MOORE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-2346
Mailing Address - Country:US
Mailing Address - Phone:972-563-1600
Mailing Address - Fax:972-563-1600
Practice Address - Street 1:1900 W MOORE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-2346
Practice Address - Country:US
Practice Address - Phone:972-563-1600
Practice Address - Fax:972-563-1600
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7592TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist