Organization
HARRISBURG EYE CLINIC PA
Active
Parent organization
HARRISBURG EYE CLINIC PA
Other names
Harrisburg Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRISBURG EYE CLINIC PA
Authorized official
DR. DANIEL EDWARDS JENKINS III M.D. (PRESIDENT)
(713) 928-3375
Entity
Organization
Contact information
Practice address
7430 HARRISBURG BLVD, HOUSTON, TX 77011-4741
(713) 928-2796
(713) 928-5082
Mailing address
7438 HARRISBURG BLVD, HOUSTON, TX 77011-4741
(713) 928-3375
(713) 928-6173
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DR0223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082179501
—
TX
05
—
115474202
—
TX
Enumeration date
09/12/2006
Last updated
08/15/2008
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