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General NPI Number Information
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NPI Number | 1366848251
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Entity Type | Organization
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Legal Business Name | TIMBERWILDE EYE CARE, PLLC
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 24504 KUYKENDAHL RD STE 500
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City | TOMBALL
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State | TX
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Zip | 77375-3413
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Country | US
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Telephone | 832-698-1759
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Fax | 832-698-4987
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Provider Business Mailing Address
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Address Line | 24504 KUYKENDAHL RD STE 500
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City | TOMBALL
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State | TX
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Zip | 77375-3413
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Country | US
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Telephone | 832-698-1759
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Fax | 832-698-4987
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BRYAN ROOF
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Credential | OD
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Telephone | 832-851-8186
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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 | 7956
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License Number State | TX
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