Individual
DR. CHAN QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5866 E SAM HOUSTON PKWY N STE B, HOUSTON, TX 77049-2527
(281) 436-1757
(281) 454-4825
Mailing address
5866 E SAM HOUSTON PKWY N STE B, HOUSTON, TX 77049-2527
(281) 436-1757
(281) 454-4825
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6561TG
TX
152WV0400X
Vision Therapy Optometrist
6561TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1800161
MEDICAID - INDIVIDUAL ID
TX
01
—
TXB104561
MEDICARE- INDIVIDUAL PTAN
—
Enumeration date
01/06/2006
Last updated
07/29/2025
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