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General NPI Number Information
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NPI Number | 1124443825
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Entity Type | Organization
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Legal Business Name | TEXAS EYE MD, PA
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 305 W SPRING CREEK PKWY SUITE 103A
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City | PLANO
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State | TX
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Zip | 75023-4626
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Country | US
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Telephone | 972-424-5811
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Fax | 972-881-1136
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Provider Business Mailing Address
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Address Line | 305 W SPRING CREEK PKWY SUITE 103A
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City | PLANO
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State | TX
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Zip | 75023-4626
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Country | US
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Telephone | 972-424-5811
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Fax | 972-881-1136
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID LU
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Credential | M.D.
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Telephone | 972-743-4423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L8114
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License Number State | TX
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