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General NPI Number Information
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NPI Number | 1558698837
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Entity Type | Organization
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Legal Business Name | TAMMIE F HICKS OD PC
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Dates
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Enumeration Date | 11/07/2009
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Last Update Date | 02/05/2010
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Provider Practice Location Address
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Address Line | 1000 W OAKS MALL SUITE 136
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City | HOUSTON
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State | TX
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Zip | 77082-1733
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Country | US
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Telephone | 281-496-4774
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Fax | 281-496-4782
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Provider Business Mailing Address
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Address Line | 1000 W OAKS MALL SUITE 136
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City | HOUSTON
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State | TX
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Zip | 77082-1733
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Country | US
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Telephone | 281-496-4774
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Fax | 281-496-4782
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Authorized Official
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Title or Position | PRESIDENT/OD
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Name | TAMMIE F HICKS
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Credential | OD
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Telephone | 281-496-4774
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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 | 5128TG
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License Number State | TX
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