Individual
BIVIANA LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-3069
(713) 743-2020
Mailing address
6626 E BONITA CT, ORANGE, CA 92867-6421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11129T
TX
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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