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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1578706396 NPPES
Texas Other P0198400 DPS
Texas Other P7164 DPS

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