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Organization
ROSANNA MAN NAR PUN OD PC
Active
Organization
ROSANNA MAN NAR PUN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNA PUN OD (OPTOMETRIST)
(713) 271-6898
Entity
Organization
Contact information
Practice address
9889 BELLAIRE BLVD STE 313, HOUSTON, TX 77036-3468
(713) 271-6898
Mailing address
9889 BELLAIRE BLVD STE 313, HOUSTON, TX 77036-3468
(713) 271-6898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y402
MEDICARE PTAN
TX
05
—
149833901
—
TX
01
—
8AJ003
BLUE CROSS BLUE SHIELD
TX
01
—
919643
BLOCK VISION
TX
Enumeration date
06/14/2006
Last updated
04/11/2012
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