Individual
MARIO SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13709 STATE HIGHWAY 249, HOUSTON, TX 77086-2705
(832) 288-2661
(800) 261-5036
Mailing address
13709 STATE HIGHWAY 249, HOUSTON, TX 77086-2705
(832) 288-2661
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/09/2018
Last updated
07/31/2025
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