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General NPI Number Information
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NPI Number | 1932052503
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Entity Type | Organization
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Legal Business Name | GULF COAST EYE CENTER INCORPORTATED
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 2636 S LOOP W STE 500
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City | HOUSTON
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State | TX
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Zip | 77054-2953
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Country | US
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Telephone | 713-790-0513
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Fax | 713-790-0514
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Provider Business Mailing Address
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Address Line | 2636 S LOOP W STE 500
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City | HOUSTON
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State | TX
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Zip | 77054-2953
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Country | US
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Telephone | 713-790-0513
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Fax | 713-790-0514
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JELITA GREEN
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Credential | OD
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Telephone | 713-790-0513
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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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