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General NPI Number Information
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NPI Number | 1912303074
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Entity Type | Organization
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Legal Business Name | CONROE EYES
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2104 N FRAZIER ST STE 180
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City | CONROE
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State | TX
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Zip | 77301-1252
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Country | US
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Telephone | 936-202-3043
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Fax | 281-298-8533
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Provider Business Mailing Address
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Address Line | 2104 N FRAZIER ST STE 180
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City | CONROE
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State | TX
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Zip | 77301-1252
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Country | US
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Telephone | 936-202-3043
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Fax | 281-298-8533
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. TAMMY PHAM
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Credential | O.D.
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Telephone | 832-948-8885
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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 | 7244
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License Number State | TX
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