Provider Demographics
NPI:1417950759
Name:CESSAC, HONOUR L (OD)
Entity Type:Individual
Prefix:DR
First Name:HONOUR
Middle Name:L
Last Name:CESSAC
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18850 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4288
Mailing Address - Country:US
Mailing Address - Phone:713-275-2457
Mailing Address - Fax:713-275-2466
Practice Address - Street 1:2600 VIA FORTUNA
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7990
Practice Address - Country:US
Practice Address - Phone:512-327-4123
Practice Address - Fax:512-327-9156
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5103TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101579404Medicaid
TXU56558Medicare UPIN
TX101579404Medicaid