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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215902200 NPPES
Texas MEDICAID 160423302
Texas Other 11616008

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