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General NPI Number Information
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NPI Number | 1033343165
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Entity Type | Organization
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Legal Business Name | EYE HEALTH & SURGICAL CARE
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 3100 TIMMONS LANE SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77027-5938
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Country | US
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Telephone | 713-529-3867
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Fax | 713-529-2121
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Provider Business Mailing Address
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Address Line | 3100 TIMMONS LANE SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77027-5938
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Country | US
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Telephone | 713-529-3867
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Fax | 713-529-2121
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | NIMISHA A PATEL
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Credential | M.D.
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Telephone | 713-529-3867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K0979
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License Number State | TX
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