Black, Paul Steven

Black, Paul Steven is an individual health care provider with primary practice located at 111 D Interstate 45 So , Huntsville TX 77340. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Black, Paul Steven can be contacted via phone (936) 291-2770.

Contact Information

Primary practice address
111 D Interstate 45 So Huntsville TX 77340
Fax: (936) 291-7422
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2821 Texas

Profile Details

NPI number 1609903053
LBN Legal business name Black, Paul Steven
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609903053 NPPES
Texas Other 00E98B BLUE CROSS

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