Individual
DR. BITA YOUSEFI GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6439TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E41Y
GROUP PIN
TX
01
—
1234530001
GROUP DMERC
TX
01
—
1588611172
NPI
TX
01
—
1902852346
GROUP NPI
TX
01
—
752711435
GROUP TAX ID
TX
Enumeration date
05/28/2006
Last updated
05/07/2010
Update your record
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