Individual
DR. JERSON DESIDERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3811 LYONS AVE, HOUSTON, TX 77020-8306
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8866T
TX
Other
Enumeration date
02/28/2017
Last updated
10/17/2017
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