Organization
SHAH EYE CENTER, P.A.
Active
Other names
Shah Eye Center, P.A, Shah Eye Center PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJKUMAR G SHAH MD (DOCTOR OWNER)
(956) 583-0202
Entity
Organization
Contact information
Practice address
1506 E GRIFFIN PKWY, MISSION, TX 78572-2424
(956) 583-0202
(956) 583-0200
Mailing address
1506 E GRIFFIN PKWY, MISSION, TX 78572-2424
(956) 583-0202
(956) 583-0200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080899003
—
TX
Enumeration date
06/18/2006
Last updated
06/30/2023
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