Provider Demographics
NPI:1952815870
Name:TEXAS LASIK PLLC
Entity Type:Organization
Organization Name:TEXAS LASIK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:EUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSSORIO
Authorized Official - Suffix:
Authorized Official - Credentials:CONSULTANT
Authorized Official - Phone:832-934-1166
Mailing Address - Street 1:926 N WILCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3504
Mailing Address - Country:US
Mailing Address - Phone:713-661-6500
Mailing Address - Fax:713-661-6527
Practice Address - Street 1:926 N WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3504
Practice Address - Country:US
Practice Address - Phone:713-661-6500
Practice Address - Fax:713-665-6527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty