Organization
SHAH EYE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJKUMAR G SHAH M.D. (OWNER)
(956) 583-0202
Entity
Organization
Contact information
Practice address
8607 MCPHERSON RD, STE 102, LAREDO, TX 78045-6382
(956) 753-0202
(956) 753-0204
Mailing address
2025 E GRIFFIN PKWY, MISSION, TX 78572-3222
(956) 583-0202
(956) 583-0200
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
J9336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080899003
—
TX
Enumeration date
12/19/2008
Last updated
12/24/2008
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