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Individual

DR. LISA MARIE MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2409 FALCON PASS DRIVE, SUITE 180, HOUSTON, TX 77062
(281) 461-3937
Mailing address
15506 PARK ESTATES LN, HOUSTON, TX 77062-3655
(281) 480-6911

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4123
TX
152WC0802X
Corneal and Contact Management Optometrist
4123
TX
152WP0200X
Pediatric Optometrist
4123
TX
152WV0400X
Vision Therapy Optometrist
4123
TX

Other

Enumeration date
01/12/2007
Last updated
05/03/2013
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