Organization
PLASTIC EYE SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY L BROUSSARD MBA (ADMINISTRATOR)
(713) 795-0705
Entity
Organization
Contact information
Practice address
3730 KIRBY DR, SUITE 900, HOUSTON, TX 77098-3905
(713) 795-0705
(713) 807-0630
Mailing address
3730 KIRBY DR, SUITE 900, HOUSTON, TX 77098-3905
(713) 795-0705
(713) 807-0630
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
06/18/2020
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