Organization
SOUTH HOUSTON RETINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY PUTHENPARAMBIL MD (OWNER)
(281) 687-0381
Entity
Organization
Contact information
Practice address
8540 BROADWAY ST STE 210, PEARLAND, TX 77584-7710
(281) 866-3853
Mailing address
8540 BROADWAY ST STE 210, PEARLAND, TX 77584-7710
(281) 866-3853
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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