Provider Demographics
NPI:1467813014
Name:FABRYGEL, BETHANY (OD)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:FABRYGEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2719 REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-8144
Mailing Address - Country:US
Mailing Address - Phone:361-676-9368
Mailing Address - Fax:
Practice Address - Street 1:25639 HIGHWAY 59 N STE 109
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1795
Practice Address - Country:US
Practice Address - Phone:832-810-2020
Practice Address - Fax:832-930-4441
Is Sole Proprietor?:No
Enumeration Date:2016-03-10
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9145TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist