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General NPI Number Information
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NPI Number | 1710476734
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Entity Type | Organization
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Legal Business Name | MARIA BIDROS MD
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR STE 284
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City | HOUSTON
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State | TX
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Zip | 77024-2403
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Country | US
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Telephone | 832-667-8254
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 79968
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City | HOUSTON
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State | TX
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Zip | 77279-8968
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Country | US
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Telephone | 281-500-3653
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | MARIA BIDROS
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Credential | MD
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Telephone | 832-667-8254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | R6977
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License Number State | TX
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