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General NPI Number Information
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NPI Number | 1558048058
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Entity Type | Organization
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Legal Business Name | TEXAS EYE AND AESTHETIC CENTER PLLC
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 3950 W PLANO PKWY STE A
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City | PLANO
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State | TX
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Zip | 75075-7805
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Country | US
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Telephone | 972-519-9933
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Fax | 972-468-1434
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Provider Business Mailing Address
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Address Line | 3950 W PLANO PKWY STE A
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City | PLANO
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State | TX
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Zip | 75075-7805
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Country | US
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Telephone | 972-519-9933
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Fax | 972-468-1434
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. SABRINA CISNEROS
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Credential |
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Telephone | 972-519-9933
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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