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General NPI Number Information
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NPI Number | 1982599486
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Entity Type | Organization
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Legal Business Name | CRESCENT RETINA CENTER PLLC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 3129 KINGSLEY DR STE 1920
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City | PEARLAND
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State | TX
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Zip | 77584
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Country | US
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Telephone | 713-597-2874
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Fax |
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Provider Business Mailing Address
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Address Line | 3129 KINGSLEY DR STE 1920
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City | PEARLAND
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State | TX
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Zip | 77584
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Country | US
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Telephone | 713-597-2874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEHREEN IDREES ADHI
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Credential | M.D.
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Telephone | 713-597-2874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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