Provider Demographics
NPI:1871633966
Name:MOES R. NASSER, OD
Entity Type:Organization
Organization Name:MOES R. NASSER, OD
Other - Org Name:VISION SOURCE GREENWAY-GALLERIA, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOES
Authorized Official - Middle Name:R
Authorized Official - Last Name:NASSER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-995-0042
Mailing Address - Street 1:3800 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:281-955-9999
Mailing Address - Fax:281-955-9931
Practice Address - Street 1:3800 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:281-955-9999
Practice Address - Fax:281-955-9931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3077TG174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER