Provider Demographics
NPI:1457466039
Name:VYAS, ALPA PATEL (OD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:PATEL
Last Name:VYAS
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 1:15955 FM 529 RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2513
Mailing Address - Country:US
Mailing Address - Phone:832-593-8833
Mailing Address - Fax:832-593-8844
Practice Address - Street 1:15955 FM 529 RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2513
Practice Address - Country:US
Practice Address - Phone:832-593-8833
Practice Address - Fax:832-593-8844
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05911T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B9105Medicare ID - Type UnspecifiedPROVIDER #
TX00802WMedicare ID - Type UnspecifiedGROUP # AND INDIVIDUAL #
V00012Medicare UPIN