Individual
DR. LESTAVIA DUPLANTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5815 E SAM HOUSTON PKWY N STE A, HOUSTON, TX 77049-2524
(281) 459-3700
(281) 459-9700
Mailing address
5815 E SAM HOUSTON PKWY N STE A, HOUSTON, TX 77049-2524
(281) 459-3700
(281) 459-9700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6307T
TX
152WC0802X
Corneal and Contact Management Optometrist
6307T
TX
152WP0200X
Pediatric Optometrist
6307T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00300Z
MEDICARE PTAN
TX
Enumeration date
02/27/2007
Last updated
09/14/2009
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