Provider Demographics
NPI:1265141774
Name:NEIRA, IRAIS (OD)
Entity type:Individual
Prefix:
First Name:IRAIS
Middle Name:
Last Name:NEIRA
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 1:5313 MCPHERSON RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6832
Mailing Address - Country:US
Mailing Address - Phone:956-795-8310
Mailing Address - Fax:956-795-8313
Practice Address - Street 1:5313 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6832
Practice Address - Country:US
Practice Address - Phone:956-795-8310
Practice Address - Fax:956-795-8313
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10623152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist