Mompremier, Mikelson
Mompremier, Mikelson is an sole proprietor health care provider with primary practice located at 1510 N Hampton Rd Suite 290, Desoto TX 75115-8300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mompremier, Mikelson can be contacted via phone (469) 687-5664.Contact Information
Primary practice address
1510 N Hampton Rd Suite 290
Desoto TX 75115-8300
Phone: (469) 687-5664
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | P7164 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | P7164 | Texas |
Profile Details
| NPI number | 1578706396 |
|---|---|
| LBN Legal business name | Mompremier, Mikelson |
| Credentials | M.D.,F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2009 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1578706396 | NPPES |
| Texas | Other | P0198400 | DPS |
| Texas | Other | P7164 | DPS |
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