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Individual

MR. ENRIQUE ATUESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
5739 BELLAIRE BLVD, HOUSTON, TX 77081-5505
(713) 668-1307
(713) 668-0110
Mailing address
5739 BELLAIRE BLVD, HOUSTON, TX 77081-5505
(713) 668-1307
(713) 668-0110

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DR0773
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020137801
TX
Enumeration date
06/17/2008
Last updated
06/17/2008
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