John, Mini
John, Mini is an individual health care provider with primary practice located at 2755 Texas Pkwy Ste 104 , Missouri City TX 77489-5114. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. John, Mini can be contacted via phone (281) 416-7077.Contact Information
Primary practice address
2755 Texas Pkwy Ste 104
Missouri City TX 77489-5114
Phone: (281) 416-7077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 06184TG | Texas |
Profile Details
| NPI number | 1215902200 |
|---|---|
| LBN Legal business name | John, Mini |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215902200 | NPPES |
| Texas | MEDICAID | 160423302 | |
| Texas | Other | 11616008 |
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