Provider Demographics
NPI:1689785958
Name:EYE PHYSICIANS OF NORTH HOUSTON PA
Entity Type:Organization
Organization Name:EYE PHYSICIANS OF NORTH HOUSTON PA
Other - Org Name:NANES EYE ASSOCIATES PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CK
Authorized Official - Last Name:AU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-893-1760
Mailing Address - Street 1:21313 FOSTER RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4209
Mailing Address - Country:US
Mailing Address - Phone:281-893-1760
Mailing Address - Fax:281-893-4037
Practice Address - Street 1:21313 FOSTER RD STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4209
Practice Address - Country:US
Practice Address - Phone:281-893-1760
Practice Address - Fax:281-893-4037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00744KOtherBCBS
TX095054503Medicaid
TXCI6501Medicare ID - Type Unspecified