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General NPI Number Information
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NPI Number | 1407045677
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Entity Type | Organization
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Legal Business Name | NEURO-OPHTHALMOLOGY OF TEXAS PLLC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 5400 BISSONNET ST STE A
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City | BELLAIRE
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State | TX
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Zip | 77401-3952
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Country | US
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Telephone | 713-942-2187
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Fax | 713-942-0265
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Provider Business Mailing Address
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Address Line | 2726 BISSONNET ST # 240-228
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City | HOUSTON
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State | TX
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Zip | 77005-1319
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Country | US
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Telephone | 713-942-2187
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Fax | 713-942-0265
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Authorized Official
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Title or Position | M.D.
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Name | ROSA A. TANG
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Credential | M.D.
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Telephone | 713-942-2187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E4710
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License Number State | TX
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