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NPI Code Detail

MEDICARE: CHRISTINE LIU SHUCHART O.D.

MEDICARE: CHRISTINE LIU SHUCHART O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5498TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15498TGOTHERTXSTATE LICENSE NUMBER
24743680001OTHERTXCIGNA GOV SERVICES NUMBER

General Provider Information

NPI Number : 1235222639
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LIU SHUCHART O.D.
Provider Business Mailing Address
First Line : 1519 TIMBER CREEK DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4558
Country : US
Telephone Number : 281-835-6902
Fax Number :
Provider Business Practice Location Address
First Line : 13615 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1714
Country : US
Telephone Number : 281-933-3445
Fax Number : 281-933-6865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 02/08/2008

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