Provider Demographics
NPI:1790226850
Name:MACULA AND RETINA SPECIALISTS OF HOUSTON, PLLC
Entity Type:Organization
Organization Name:MACULA AND RETINA SPECIALISTS OF HOUSTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-817-8141
Mailing Address - Street 1:4701 FM 2920 ROAD
Mailing Address - Street 2:UNIT C2
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3160
Mailing Address - Country:US
Mailing Address - Phone:866-862-2852
Mailing Address - Fax:
Practice Address - Street 1:4701 FM 2920 ROAD
Practice Address - Street 2:UNIT C2
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3160
Practice Address - Country:US
Practice Address - Phone:866-862-2852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty