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General NPI Number Information
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NPI Number | 1720249469
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Entity Type | Individual
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Provider Name | LIZA OPPER THALHEIMER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 5585 WESLAYAN ST
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City | HOUSTON
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State | TX
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Zip | 77005-1941
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Country | US
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Telephone | 800-991-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 NORTHDALE BLVD SUITE 201
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 800-991-6117
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Fax | 972-234-0813
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | R0334
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R0334
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License Number State | TX
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