Individual provider · NPI-1

Cenovio Caudillo

Technician/Technologist, Optician · Houston, TX

NPI number1376996272
StatusActive
Last updated in NPPESJul 15, 2016

Details

NPI
1376996272
Entity type
Individual (NPI-1)
Name
Cenovio Caudillo
Sex
Male
Sole proprietor
No
Enumeration date
Jul 15, 2016
Last updated
Jul 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

7755 W Bellfort St
Houston, TX 77071-2104

Phone 713-729-8144 · Fax 713-729-8147

Mailing address

7755 W Bellfort St
Houston, TX 77071-2104

Phone 713-729-8144 · Fax 713-729-8147

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