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General NPI Number Information
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NPI Number | 1073136685
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Entity Type | Organization
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Legal Business Name | TEXAN EYE, P.A.
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 501 E PALM VALLEY BLVD
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City | ROUND ROCK
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State | TX
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Zip | 78664-3000
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Country | US
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Telephone | 512-327-7000
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Fax | 512-314-1662
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Provider Business Mailing Address
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Address Line | 5717 BALCONES DR
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City | AUSTIN
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State | TX
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Zip | 78731-4203
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Country | US
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Telephone | 512-314-1613
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Fax | 512-314-1661
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Authorized Official
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Title or Position | MEDICAL STAFF SERVICES COORDINATOR
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Name | SHELI MARIE CRABTREE
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Credential | DO
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Telephone | 512-314-1613
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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 |
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License Number State |
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