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NPI Code Detail

MEDICARE: DEJEAN & KUGLEN EYE ASSOCIATES LLP

MEDICARE: DEJEAN & KUGLEN EYE ASSOCIATES LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician207W00000XTX

General Provider Information

NPI Number : 1952322067
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEJEAN & KUGLEN EYE ASSOCIATES LLP
Provider Business Mailing Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 936-539-4500
Fax Number : 936-539-1216
Provider Business Practice Location Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 936-539-4500
Fax Number : 936-539-4050
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : MRS. SHIRIN VILLEGAS
Credential :
Telephone Number : 936-539-4500
Provider Enumeration Date : 07/22/2006
Last Update Date : 07/11/2022

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1669475455 — BAPTISTE JOHN DEJEAN III M.D.
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1831171784 — MS. LINDA HER SHYUAN LIN MD
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1770561714 — DR. ANDREW DVORAK M.D.
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1427166776 — DEJEAN & KUGLEN EYE ASSOCIATES LLP
Practice Location Address:
400 S LOOP 336 W
CONROE, TX
77304-3302
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Practice Fax:
1366538654 — TIMOTHY WAYNE DOUCET MD
Practice Location Address:
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77304-3302
Practice Phone: 936-539-4500
Practice Fax: 936-539-4050

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