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Organization
VILLAGE VISION PA
Active
Organization
VILLAGE VISION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIET PHAN HO OD (OPTOMETRIST)
(713) 464-0945
Entity
Organization
Contact information
Practice address
9127 KATY FREEWAY, SUITE A, HOUSTON, TX 77024
(713) 464-0945
Mailing address
9127 KATY FREEWAY, SUITE A, HOUSTON, TX 77024
(713) 464-0945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX5838T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13460
SPECTERA
TX
05
—
147294601
—
TX
Enumeration date
02/09/2007
Last updated
08/04/2008
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