Provider Demographics
NPI:1669527537
Name:CARVOUNIS, PETROS EUTHYMIOU (MD)
Entity type:Individual
Prefix:
First Name:PETROS
Middle Name:EUTHYMIOU
Last Name:CARVOUNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 TRAVIS ST
Mailing Address - Street 2:SUITE 560
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1312
Mailing Address - Country:US
Mailing Address - Phone:713-637-4408
Mailing Address - Fax:832-547-2221
Practice Address - Street 1:6655 TRAVIS ST
Practice Address - Street 2:STE 560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1312
Practice Address - Country:US
Practice Address - Phone:713-637-4408
Practice Address - Fax:832-547-2221
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1566207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G7725OtherBC/BS
TX185580102Medicaid
TX185580101Medicaid
TX185580109Medicaid
TX185580109Medicaid
TX185580102Medicaid
TXP00436321Medicare PIN
TX328827YKQHMedicare PIN
TX8J5702Medicare UPIN
TX8G7725OtherBC/BS