NICKI A. WALL PC
Optometry at Gulf Fwy, San Leon, TX

License number
Texas 04000TG
Category
Optometry
Type
Optometrist
Owner
Name: DR. NICKI A. WALL O.D.
Title: DOCTOR OF OPTOMETRY
Phone: (281) 534-2020
Address
Address
3600 Gulf Fwy SUITE A, San Leon, TX 77539
National Provider ID: 1750391561
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. Nicki A. Wall, PC

San Leon, TX  -  Houston, TX

Doing business as:
Dr. Nicki A. Wall, PC
Registration:
Aug 28, 1990
Addresses:
3600 Gulf Fwy, San Leon, TX 77539
1289 El Camino Vlg Dr, Houston, TX 77058
2600 Gw Fwy, San Leon, TX 77539
State ID:
91535002
Business type:
Domestic Professional Corporation
President, Director:
Nicki A. Wall (President, Director)
Agent:
Jefery F. Carson

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