Provider Demographics
NPI:1902523442
Name:ELHAJ, LINA NADINE (OD)
Entity Type:Individual
Prefix:DR
First Name:LINA
Middle Name:NADINE
Last Name:ELHAJ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9203 FLATHEAD RANGE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1707
Mailing Address - Country:US
Mailing Address - Phone:832-651-5995
Mailing Address - Fax:
Practice Address - Street 1:12928 WILLOW CHASE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-6173
Practice Address - Country:US
Practice Address - Phone:832-913-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10540T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist