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General NPI Number Information
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NPI Number | 1376940916
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Entity Type | Organization
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Legal Business Name | THE WOODLANDS EYE CENTER, L.L.C.
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 10807 KUYKENDAHL RD STE 408
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City | SPRING
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State | TX
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Zip | 77382-2782
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Country | US
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Telephone | 281-298-8332
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Fax | 281-298-8533
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Provider Business Mailing Address
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Address Line | 10807 KUYKENDAHL RD STE 408
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City | SPRING
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State | TX
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Zip | 77382-2782
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Country | US
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Telephone | 281-298-8332
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Fax | 281-298-8533
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Authorized Official
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Title or Position | THERAPEUTIC OPTOMETRIST/OWNER
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Name | DR. TAMMY PHAM
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Credential | O.D.
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Telephone | 832-948-8885
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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 | 7244TG
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License Number State | TX
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