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General NPI Number Information
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NPI Number | 1770736407
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Entity Type | Organization
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Legal Business Name | EYESTOP OF TEXAS, PLLC
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Dates
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Enumeration Date | 10/25/2008
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 8538 IH-35 SOUTH
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City | SAN ANTONIO
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State | TX
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Zip | 78211
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Country | US
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Telephone | 210-682-2020
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Fax | 210-682-2021
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Provider Business Mailing Address
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Address Line | PO BOX 700627
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City | SAN ANTONIO
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State | TX
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Zip | 78270-0627
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Country | US
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Telephone | 210-682-2020
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Fax | 210-682-2021
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Authorized Official
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Title or Position | MEMBER/OPTOMETRIST
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Name | DR. HUONG M NGUYEN
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Credential | O.D.
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Telephone | 210-682-2020
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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 | 6925TG
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License Number State | TX
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