Organization
MEDICAL CENTER OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A CANOVAS JR. (MBR)
(713) 664-5678
Entity
Organization
Contact information
Practice address
2240 W HOLCOMBE BLVD STE B, HOUSTON, TX 77030-2008
(713) 664-5678
Mailing address
2240 W HOLCOMBE BLVD STE B, HOUSTON, TX 77030-2008
(713) 664-5678
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
156FX1800X
TX
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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