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General NPI Number Information
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NPI Number | 1578346037
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Entity Type | Organization
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Legal Business Name | INTEGRO EYE PLLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 27650 INTERSTATE 10 W STE 110
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City | BOERNE
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State | TX
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Zip | 78006-2560
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Country | US
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Telephone | 210-526-2020
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Fax | 210-682-9677
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Provider Business Mailing Address
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Address Line | 27650 INTERSTATE 10 W STE 110
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City | BOERNE
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State | TX
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Zip | 78006-2560
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Country | US
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Telephone | 210-526-2020
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Fax | 210-682-9677
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Authorized Official
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Title or Position | OD/OWNER
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Name | DR. LUIS ROJAS
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Credential | OD
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Telephone | 210-526-2020
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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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