Annie Chia Hung    Hsu    OD
Contract Details
Ancillary Care Services
Facility name
Provider ID
P000004520
NPI
1427172386
Tax ID
270293722
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
12710 West Lake Houston Parkway Suite F
Houston, TX 77044
United States
County
Harris
Phone
2814361800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address