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General NPI Number Information
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NPI Number | 1164608279
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Entity Type | Organization
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Legal Business Name | SPRING BRANCH EYE CARE CENTER LLC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1810 WIRT RD
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City | HOUSTON
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State | TX
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Zip | 77055-2407
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Country | US
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Telephone | 713-290-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 WIRT RD
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City | HOUSTON
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State | TX
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Zip | 77055-2407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LILIANA CERVANTES KARIM
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Credential | OD
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Telephone | 713-290-9900
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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 | 6503TG
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License Number State | TX
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