Organization
BESPOKE VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MAI NGUYEN (OD/OWNER)
(713) 367-0024
Entity
Organization
Contact information
Practice address
1916 W 18TH ST, HOUSTON, TX 77008-1206
(713) 367-0024
Mailing address
2700 REVERE ST APT 144, HOUSTON, TX 77098-1347
(713) 367-0024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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