Organization
LIGHTHOUSE FOR THE BLIND OF HOUSTON
Active
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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