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General NPI Number Information
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NPI Number | 1851414593
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Entity Type | Organization
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Legal Business Name | FLORENCE WOOTEN, M.D., P.A.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 2000 CRAWFORD ST STE 1200
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City | HOUSTON
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State | TX
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Zip | 77002-9089
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Country | US
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Telephone | 713-652-9898
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Fax | 713-652-9899
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Provider Business Mailing Address
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Address Line | 2000 CRAWFORD ST STE 1200
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City | HOUSTON
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State | TX
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Zip | 77002-9089
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Country | US
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Telephone | 713-652-9898
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Fax | 713-652-9899
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Authorized Official
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Title or Position | OWNER
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Name | FLORENCE WOOTEN
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Credential |
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Telephone | 713-652-9898
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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 | 05875TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 026445
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | H1060
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License Number State | TX
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