Organization
LIGHTHOUSE FOR THE BLIND OF HOUSTON
Active
Other names
The Lighthouse of Houston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIBSON DUTERROIL (PRESIDENT)
(713) 284-8420
Entity
Organization
Contact information
Practice address
3602 W DALLAS ST, HOUSTON, TX 77019-1704
(713) 284-8494
(713) 284-8468
Mailing address
3602 W DALLAS ST, HOUSTON, TX 77019-1704
(713) 284-8494
(713) 284-8468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
2084P0800X
Psychiatry Physician
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000321000
DAHS
TX
01
—
000329100
DAHS
TX
01
—
001000741
DB WAIVER
TX
Enumeration date
05/09/2007
Last updated
01/28/2025
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