Provider Demographics
NPI:1538288956
Name:SHERIF KHALIL, M.D., P.A
Entity Type:Organization
Organization Name:SHERIF KHALIL, M.D., P.A
Other - Org Name:HOUSTON EYE AND LASER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-461-2646
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 179
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2402
Mailing Address - Country:US
Mailing Address - Phone:713-461-2646
Mailing Address - Fax:713-461-3661
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:SUITE 179
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2402
Practice Address - Country:US
Practice Address - Phone:713-461-2646
Practice Address - Fax:713-461-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF84EMedicare PIN
TX0937550001Medicare NSC