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Organization
MIRA EYECARE
Active
Organization
MIRA EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS ALBERTO RAMON O.D. (OPTOMETRIST)
(713) 926-6567
Entity
Organization
Contact information
Practice address
5819 GULF FWY, SUITE # 700, HOUSTON, TX 77023-5352
(713) 926-6567
Mailing address
5819 GULF FWY, SUITE # 700, HOUSTON, TX 77023-5352
(713) 926-6567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6954TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211196501
—
TX
01
—
6954TG
STATE LICENSE
TX
Enumeration date
02/17/2014
Last updated
10/27/2014
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