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General NPI Number Information
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NPI Number | 1720899073
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Entity Type | Organization
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Legal Business Name | NOAH ZAVALA, O.D., PLLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2702 PALMER HWY
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City | TEXAS CITY
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State | TX
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Zip | 77590-6930
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Country | US
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Telephone | 409-948-1311
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Fax | 409-948-6836
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Provider Business Mailing Address
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Address Line | 1821 23RD AVE N
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City | TEXAS CITY
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State | TX
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Zip | 77590-5246
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Country | US
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Telephone | 409-692-7634
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NOAH MICHAEL ZAVALA
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Credential | OD
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Telephone | 409-692-7634
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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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