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General NPI Number Information
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NPI Number | 1609751015
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Entity Type | Individual
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Provider Name | MIA GABRIELLE AUSTER OD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 15900 LA CANTERA PKWY STE 20215
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City | SAN ANTONIO
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State | TX
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Zip | 78256-2464
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Country | US
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Telephone | 210-354-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 5787 COUNTY ROAD 2189
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City | ODEM
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State | TX
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Zip | 78370-4413
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Country | US
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Telephone | 361-290-9172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11498
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License Number State | TX
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