Provider Demographics
NPI:1801890777
Name:YOUNES, MONA (OD)
Entity type:Individual
Prefix:DR
First Name:MONA
Middle Name:
Last Name:YOUNES
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 1:1540 S MASON RD STE C
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-4574
Mailing Address - Country:US
Mailing Address - Phone:281-693-1616
Mailing Address - Fax:281-693-1619
Practice Address - Street 1:1540 S MASON RD STE C
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4574
Practice Address - Country:US
Practice Address - Phone:281-693-1616
Practice Address - Fax:281-691-1619
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4763TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112389502Medicaid
TXU49857Medicare UPIN
TX112389502Medicaid