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General NPI Number Information
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NPI Number | 1942421599
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Entity Type | Organization
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Legal Business Name | SOUTHEAST EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 7707 FANNIN ST SUITE 107
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City | HOUSTON
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State | TX
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Zip | 77054-1926
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Country | US
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Telephone | 713-995-0042
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Fax | 713-995-0548
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Provider Business Mailing Address
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Address Line | 7707 FANNIN ST SUITE 107
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City | HOUSTON
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State | TX
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Zip | 77054-1926
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Country | US
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Telephone | 713-995-0042
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Fax | 713-995-0548
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRIS J. CABLER
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Credential | M.D.
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Telephone | 713-995-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E0225
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License Number State | TX
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