Provider Demographics
NPI:1205556909
Name:CONTRERAS, CLAUDIA VANESSA (OD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:VANESSA
Last Name:CONTRERAS
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 1:14223 FM 2920 RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-6422
Mailing Address - Country:US
Mailing Address - Phone:281-205-2290
Mailing Address - Fax:281-255-0363
Practice Address - Street 1:14223 FM 2920 RD STE 100
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6422
Practice Address - Country:US
Practice Address - Phone:281-205-2290
Practice Address - Fax:281-255-0363
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10539152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist