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NPI 1902343841

NPI 1902343841 : DELINA R PATEL O.D : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1902343841
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    Entity Type          |    Individual 
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    Provider Name        |    DELINA R PATEL O.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/30/2017
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    Last Update Date     |    04/23/2021
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Provider Practice Location Address
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    Address Line         |    700 TOWN AND COUNTRY BLVD STE 2460 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77024-3900
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    Country              |    US
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    Telephone            |    713-984-9144
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    Fax                  |    713-461-9858
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Provider Business Mailing Address
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    Address Line         |    24919 BRIDGETON MEADOW LN 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-7299
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    9413TG
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    License Number State |    TX
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