Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 6718TG | TX |
NPI | 1013013507 |
---|---|
Provider Name | Dr. Hema Girish Mistry |
First Address | Garland, TX 75044-7866 |
Second Address | Garland, TX 75044-7866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |