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Stephen A Ditta, OD

Optometrist in Tomball, TX. Individual provider (NPI-1).

NPI number1487645552
StatusActive
Last updated in NPPESJun 11, 2014

Details

NPI
1487645552
Entity type
Individual (NPI-1)
Name
Stephen A Ditta
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 28, 2005
Last updated
Jun 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist3624TTXYes

Practice location

1231 Alma St
Ste O
Tomball, TX 77375-4501

Phone 281-351-7378 · Fax 281-255-9597

Mailing address

1231 Alma St
Ste O
Tomball, TX 77375-4501

Phone 281-351-7378 · Fax 281-255-9597

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