Organization
AUGUSTINE K. MABATAH
Active
Other names
Quality Eye Care Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTINE KANEBI MABATAH M.D. (MEDICAL DIRECTOR)
(713) 635-5177
Entity
Organization
Contact information
Practice address
8300 HOMESTEAD RD, HOUSTON, TX 77028-2145
(713) 635-5177
(713) 631-8242
Mailing address
8300 HOMESTEAD RD, HOUSTON, TX 77028-2145
(713) 635-5177
(713) 631-8242
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J1540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083557101
—
TX
Enumeration date
09/04/2006
Last updated
12/10/2008
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