Provider Demographics
NPI:1013013507
Name:MISTRY, HEMA GIRISH (OD)
Entity Type:Individual
Prefix:DR
First Name:HEMA
Middle Name:GIRISH
Last Name:MISTRY
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 1:2046 N SHILOH RD
Mailing Address - Street 2:112
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7866
Mailing Address - Country:US
Mailing Address - Phone:713-384-9513
Mailing Address - Fax:
Practice Address - Street 1:2046 N SHILOH RD
Practice Address - Street 2:112
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7866
Practice Address - Country:US
Practice Address - Phone:713-384-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6718TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G1436Medicare ID - Type Unspecified