Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 10344T | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 10344T | TX |
NPI | 1063081636 |
---|---|
Provider Name | Thuria Younis |
First Address | Houston, TX 77077-1053 |
Second Address | Missouri City, TX 77459-7117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2021 |
Last Update Date | 02/08/2021 |