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Individual

DR. ANDREW MARIO ARCHILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVE, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10187
TX
152W00000X
Optometrist
ODP-1007
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429529701
TX
Enumeration date
01/14/2006
Last updated
08/23/2022
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