Individual
LAURA ZIVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1111 AUGUSTA DR, HOUSTON, TX 77057-2209
(713) 442-2400
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5170TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045270803
—
TX
05
—
045270804
—
TX
Enumeration date
10/05/2006
Last updated
06/24/2021
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