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General NPI Number Information
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NPI Number | 1710527361
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Entity Type | Organization
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Legal Business Name | TSO-ENERGY CORRIDOR PC
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Dates
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Enumeration Date | 01/12/2020
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Last Update Date | 01/12/2020
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Provider Practice Location Address
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Address Line | 14637 MEMORIAL DR STE D
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City | HOUSTON
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State | TX
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Zip | 77079-7522
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Country | US
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Telephone | 832-770-4926
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Fax | 281-493-0043
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Provider Business Mailing Address
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Address Line | 14637 MEMORIAL DR STE D
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City | HOUSTON
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State | TX
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Zip | 77079-7522
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Country | US
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Telephone | 832-770-4926
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Fax | 281-493-0043
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Authorized Official
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Title or Position | CONSULTANT
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Name | EUDE A OSSORIO
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Credential | CONSULTANT
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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 |
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License Number State |
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