Organization
ELDA LAURAS OPTICAL LATINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANA L TREJO OD (OPTOMETRIST/OWNER)
(713) 271-6567
Entity
Organization
Contact information
Practice address
8410 FONDREN RD, HOUSTON, TX 77074-5616
(713) 271-6567
Mailing address
8410 FONDREN RD, HOUSTON, TX 77074-5616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8227-T
TX
Other
Enumeration date
12/20/2013
Last updated
01/24/2014
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