Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 8757TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 8757TG | TX |
NPI | 1205210374 |
---|---|
Provider Name | Mary H. Dau |
First Address | Katy, TX 77494-7412 |
Second Address | Katy, TX 77494 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2015 |
Last Update Date | 08/02/2021 |