Individual
DR. FARESH S MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2121 HWY 146 BYPASS, LIBERTY, TX 77575
(936) 336-6510
Mailing address
2121 HWY 146 BYPASS, LIBERTY, TX 77575
(936) 336-6510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5983TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019093601
—
TX
05
—
019093603
—
TX
05
—
G000094P2
—
TX
Enumeration date
05/25/2006
Last updated
01/19/2024
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