Organization
EAGLE EYE CENTER BELLAIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAQUN BAO OD (OWNER)
(713) 270-9188
Entity
Organization
Contact information
Practice address
9188 BELLAIRE BLVD, SUITE 1, HOUSTON, TX 77036-4623
(713) 270-9188
(713) 271-9188
Mailing address
9188 BELLAIRE BLVD, SUITE 1, HOUSTON, TX 77036-4623
(713) 270-9188
(713) 271-9188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6480TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6480TG
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
10/05/2011
Last updated
10/05/2011
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