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NPI 1477127470

NPI 1477127470 : RGV EYE INSTITUTE LLC : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1477127470
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    Entity Type          |    Organization 
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    Legal Business Name  |    RGV EYE INSTITUTE LLC 
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Dates
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    Enumeration Date     |    05/14/2021
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    Last Update Date     |    07/07/2021
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Provider Practice Location Address
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    Address Line         |    2370 N EXPRESSWAY STE 1532 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-1237
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    Country              |    US
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    Telephone            |    956-338-1752
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    Fax                  |    956-338-1753
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Provider Business Mailing Address
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    Address Line         |    2370 N EXPRESSWAY STE 1532 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-1237
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    Country              |    US
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    Telephone            |    956-338-1752
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    Fax                  |    956-338-1753
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Authorized Official
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    Title or Position    |    OPTOMETRIST/OWNER
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    Name                 |    DR. DAVID  ZARATE JR.
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    Credential           |    DO
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    Telephone            |    956-338-1752
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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       |    
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    License Number State |    
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