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General NPI Number Information
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NPI Number | 1689560146
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Entity Type | Individual
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Provider Name | HERNAN MEDRANO OD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 225 CYPRESSWOOD DR
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City | SPRING
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State | TX
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Zip | 77388-6159
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Country | US
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Telephone | 281-288-4227
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Fax | 713-389-5144
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Provider Business Mailing Address
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Address Line | 1888 BRITTMOORE RD APT 1442
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City | HOUSTON
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State | TX
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Zip | 77043-2265
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Country | US
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Telephone | 936-402-3671
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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 | 11243T
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License Number State | TX
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