Individual
MEHWISH MEHBOOB ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19075 I 45 S STE 121B, SHENANDOAH, TX 77385-8772
(936) 271-1717
Mailing address
7931 QUADE CT, RICHMOND, TX 77469-2332
(512) 961-0569
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2023021434
MO
152W00000X
Optometrist
3811
TN
152W00000X
Optometrist
3820
MN
152W00000X
Optometrist
3822-35
WI
152W00000X
Optometrist
Primary
9469T
TX
Other
Enumeration date
10/16/2018
Last updated
10/11/2023
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