Dr. Mikelson Mompremier, M.D.,F.A.C.S.
Ophthalmology in Desoto, TX. Individual provider (NPI-1).
NPI number1578706396
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1578706396
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mikelson Mompremier
- Credential
- M.D.,F.A.C.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2009
- Certification date
- Jan 2, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | P7164 | TX | Yes |
| 207WX0107X | Ophthalmology, Retina Specialist | P7164 | TX |
Practice location
1510 N Hampton RdSuite 290
Desoto, TX 75115-8300
Phone 469-687-5664
Mailing address
1510 N Hampton Rd Ste 290Desoto, TX 75115-8300
Phone 469-687-5664 · Fax 469-317-3344
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