Organization
RETINA AND VITREOUS OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A KHAWLY MD (CEO)
(713) 799-9975
Entity
Organization
Contact information
Practice address
6565 WEST LOOP S STE 400, BELLAIRE, TX 77401-3510
(713) 799-9975
(713) 799-1095
Mailing address
6565 WEST LOOP S STE 400, BELLAIRE, TX 77401-3510
(713) 799-9975
(713) 799-1095
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0950032 02
—
TX
Enumeration date
12/16/2005
Last updated
08/21/2024
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