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General NPI Number Information
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NPI Number | 1639369010
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Entity Type | Organization
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Legal Business Name | BELLAIRE EYE CARE INC.
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2726 BISSONNET ST 240-228
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City | HOUSTON
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State | TX
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Zip | 77005-1319
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Country | US
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Telephone | 832-934-1166
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Fax | 832-934-1161
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Provider Business Mailing Address
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Address Line | 2726 BISSONNET ST 240-228
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City | HOUSTON
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State | TX
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Zip | 77005-1319
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Country | US
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Telephone | 832-934-1166
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Fax | 832-934-1161
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSA A TANG
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Credential | M.D.
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Telephone | 832-934-1166
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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 | 7128TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 7522T
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E4710
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License Number State | TX
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