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General NPI Number Information
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NPI Number | 1992866909
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Entity Type | Individual
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Provider Name | SAIRAH IHSAN MALIK O.D
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3800 SOUTHWEST FWY STE 112
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City | HOUSTON
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State | TX
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Zip | 77027-7586
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Country | US
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Telephone | 956-661-9000
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Fax | 956-686-7833
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Provider Business Mailing Address
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Address Line | 3800 SOUTHWEST FWY STE 112
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City | HOUSTON
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State | TX
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Zip | 77027-7586
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Country | US
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Telephone | 713-360-7095
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Fax | 832-460-1303
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 6717TG
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License Number State | TX
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