Provider Demographics
NPI:1518364082
Name:ANTOINE, DESHUNDRA SHEUMEL (OD)
Entity Type:Individual
Prefix:DR
First Name:DESHUNDRA
Middle Name:SHEUMEL
Last Name:ANTOINE
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 1:8122 MISTY VALE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4633
Mailing Address - Country:US
Mailing Address - Phone:713-408-4390
Mailing Address - Fax:
Practice Address - Street 1:8122 MISTY VALE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4633
Practice Address - Country:US
Practice Address - Phone:713-408-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-29
Last Update Date:2014-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8565152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist