Provider Demographics
NPI:1942432174
Name:DEVLUK, SHALINI (OD)
Entity Type:Individual
Prefix:MRS
First Name:SHALINI
Middle Name:
Last Name:DEVLUK
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 1:3130 GRANTS LAKE BLVD
Mailing Address - Street 2:UNIT 19818
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-0978
Mailing Address - Country:US
Mailing Address - Phone:281-707-7016
Mailing Address - Fax:281-707-7017
Practice Address - Street 1:3500 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1952
Practice Address - Country:US
Practice Address - Phone:281-707-7016
Practice Address - Fax:281-707-7017
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7534TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist