Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 145845 | TX |
NPI | 1053512152 |
---|---|
Provider Name | Mr. Amin Tejani |
First Address | Sugar Land, TX 77478-4409 |
Second Address | Sugar Land, TX 77478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 30/08/2007 |