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General NPI Number Information
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NPI Number | 1790855898
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Entity Type | Organization
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Legal Business Name | TEXAS REGIONAL EYE CENTER PLLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 3811 SAGEBRIAR DR
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City | BRYAN
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State | TX
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Zip | 77802-6107
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Country | US
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Telephone | 979-774-0498
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Fax | 979-774-7673
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Provider Business Mailing Address
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Address Line | 3811 SAGEBRIAR DR
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City | BRYAN
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State | TX
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Zip | 77802-6107
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Country | US
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Telephone | 979-774-0498
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Fax | 979-774-7673
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM RIGGS
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Credential | M.D.
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Telephone | 979-774-0498
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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