Individual
IVAN JOSEPH SRUT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4635 SOUTHWEST FWY, SUITE 155, HOUSTON, TX 77027-7169
(713) 961-0940
(713) 961-1996
Mailing address
4635 SOUTHWEST FWY, SUITE 155, HOUSTON, TX 77027-7169
(713) 961-0940
(713) 961-1996
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5342TG
TX
Other
Enumeration date
09/08/2005
Last updated
07/08/2007
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