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NPI 1093124661

NPI 1093124661 : NGUYEN & WHYTE EYECARE PLLC : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1093124661
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    Entity Type          |    Organization 
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    Legal Business Name  |    NGUYEN & WHYTE EYECARE PLLC 
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Dates
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    Enumeration Date     |    08/08/2014
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    Last Update Date     |    09/29/2021
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Provider Practice Location Address
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    Address Line         |    21802 TOWNSEN BLVD W 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-1594
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    Country              |    US
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    Telephone            |    832-406-2781
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    Fax                  |    281-205-5714
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Provider Business Mailing Address
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    Address Line         |    5800 BELLAIRE BLVD STE 112A
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77081-5537
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    Country              |    US
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    Telephone            |    281-809-7550
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    Fax                  |    281-809-7588
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. CHI KIM NGUYEN 
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    Credential           |    OD
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    Telephone            |    832-406-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    7412TG
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    License Number State |    TX
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