Individual
KHADIJA FAKHRUDDIN SUTARWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 527-8480
(713) 743-0963
Mailing address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 527-8480
(713) 743-0963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9918
TX
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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