DR. JASON IDICULLA O.D. PA

HOUSTON, TX
NPI1225468473
Entity TypeOrganization
Authorized ContactJASON IDICULLA
Optometrist
954-907-4966
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: TX  8235TG)
Enumeration Date2013-11-24
Last Update Date2013-11-24
Business Address
DR. JASON IDICULLA O.D. PA
3271 SOUTHWEST FWY SUITE A
HOUSTON, TX 77027-7503
Phone number: 954-907-4966
Mailing Address
DR. JASON IDICULLA O.D. PA
2222 SMITH ST APT. 434
HOUSTON, TX 77002-8735
Phone number: