Champions Eyecare Pc

NPI 1063639698 - Optometrist - 152W00000X

NPI Details
NPI 1063639698
Enumeration Date 04/18/2007
Last Updated 07/06/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WAYNE WAYNE
Position PRESIDENT
Phone (281) 440-5887
Fax (281) 440-0368
Practice Location
5774 FM 1960 RD W
HOUSTON TX, 77069-4204, US
Phone (281) 440-5887
Fax (281) 440-0368
Business Location
5774 FM 1960 RD W
HOUSTON TX, 77069-4204, US
Phone (281) 440-5887
Fax (281) 440-0368
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2671T
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According to our database, Champions Eyecare Pc NPI is 1063639698, taxonomy code is 152W00000X and license number is 2671T, license state is located at Texas. Champions Eyecare Pc physically located at 5774 Fm 1960 Rd W, Houston TX, 77069-4204. NPI Number 1033115704 has the healthcare provider type.

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1063639698 NPI number is provided on an as is basis without warranty of any kind. 1063639698 is maintained by the National Plan & Provider Enumeration System. The contents of Champions Eyecare Pc are for informational purposes only.