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NPI Code Detail

MEDICARE: DR. WAZIHA SAMIN OD

MEDICARE:  DR. WAZIHA  SAMIN  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
1152WC0802XCorneal and Contact Management Optometrist9008TGTX
2152W00000XOptometrist9008TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548610629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAZIHA SAMIN OD
Provider Business Mailing Address
First Line : 2301 S HAMPTON RD STE 500
Second Line :
City : DALLAS
State : TX
Zip : 75224-1654
Country : US
Telephone Number : 214-330-3937
Fax Number : 214-330-3939
Provider Business Practice Location Address
First Line : 2301 S HAMPTON RD STE 500
Second Line :
City : DALLAS
State : TX
Zip : 75224-1654
Country : US
Telephone Number : 214-330-3937
Fax Number : 214-330-3939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 06/18/2021

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