Pho, Salena
Pho, Salena is an individual health care provider with primary practice located at 21550 Market Place Dr Ste 200 , New Caney TX 77357-1726. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pho, Salena can be contacted via phone (314) 800-7093.Contact Information
Primary practice address
21550 Market Place Dr Ste 200
New Caney TX 77357-1726
Phone: (314) 800-7093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2001017131 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10425T | Texas |
Profile Details
| NPI number | 1760451496 |
|---|---|
| LBN Legal business name | Pho, Salena |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 18th, 2022 - about 4 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 | 1760451496 | NPPES |
| Illinois | Other | 410048090 | RR MEDICARE |
| Illinois | Other | P00403031 | RR MEDICARE |
| Illinois | Other | 675467 | RR MEDICARE |
| Illinois | MEDICAID | 315904912 | RR MEDICARE |
| Illinois | Other | 25344 | RR MEDICARE |
| Illinois | Other | U89513 | RR MEDICARE |
| Illinois | Other | 156153 | RR MEDICARE |
| Illinois | MEDICAID | 315904904 | RR MEDICARE |
| Illinois | Other | 39566 | RR MEDICARE |
| Illinois | Other | MO7131 | RR MEDICARE |
| Illinois | Other | 204563 | RR MEDICARE |
| Illinois | Other | 25344 | RR MEDICARE |
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