Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 9412T | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 9412T | TX |
N | 152WP0200X | Pediatric Optomitrist | 9412T | TX |
N | 152WS0006X | Sports Vision | 9412T | TX |
N | 152WV0400X | Optomitrist - Vision Therapist | 9412T | TX |
NPI | 1336634211 |
---|---|
Provider Name | Unnati Chotai |
First Address | Houston, TX 77062-8044 |
Second Address | Friendswood, TX 77546-5177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2018 |
Last Update Date | 24/06/2018 |