Organization
SUGARLAND EYE & LASER CENTER PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBI KHAN (BILLING)
(281) 240-0478
Entity
Organization
Contact information
Practice address
736 HIGHWAY 6, SUITE 101, SUGAR LAND, TX 77478-5103
(281) 240-0478
(281) 240-0479
Mailing address
736 HIGHWAY 6, SUITE 101, SUGAR LAND, TX 77478-5103
(281) 240-0478
(281) 240-0479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
L3360
TX
207W00000X
Ophthalmology Physician
Primary
L3360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071MD
BCBS
TX
05
—
171203601
—
TX
Enumeration date
03/21/2007
Last updated
03/17/2022
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