Tom, Dan G
Tom, Dan G is an individual health care provider with primary practice located at 1520 W Bay Area Blvd Suite 1, Friendswood TX 77546-2600. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tom, Dan G can be contacted via phone (832) 934-1166.Contact Information
Primary practice address
1520 W Bay Area Blvd Suite 1
Friendswood TX 77546-2600
Phone: (832) 934-1166
Fax: (832) 934-1161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3230TG | Texas |
Profile Details
| NPI number | 1801931647 |
|---|---|
| LBN Legal business name | Tom, Dan G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Aug 8th, 2013 - about 11 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 | 1801931647 | NPPES |
| Texas | MEDICAID | 093614803 | |
| Texas | Other | 3230TG |
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