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NPI Code Detail

MEDICARE: CHAD MICHAEL TOUPS OD

MEDICARE: CHAD MICHAEL TOUPS OD
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
1152W00000XOptometrist7012TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17012TGOTHERTXLICENSE

General Provider Information

NPI Number : 1336224047
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD MICHAEL TOUPS OD
Provider Business Mailing Address
First Line : 406 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number : 281-367-2769
Provider Business Practice Location Address
First Line : 402 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number : 281-367-2769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 09/05/2012

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