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NPI Code Detail

MEDICARE: TSO RAYFORD PA

MEDICARE: TSO RAYFORD PA
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1760843817
Entity Type Code : Organization
Provider Name (Legal Business Name) : TSO RAYFORD PA
Provider Business Mailing Address
First Line : 3535 RAYFORD ROAD
Second Line : SUITE 500
City : SPRING
State : TX
Zip : 77386
Country : US
Telephone Number : 832-810-2020
Fax Number : 832-644-5312
Provider Business Practice Location Address
First Line : 3535 RAYFORD ROAD
Second Line : SUITE 500
City : SPRING
State : TX
Zip : 77386
Country : US
Telephone Number : 832-810-2020
Fax Number : 832-644-5312
Authorized Official
Title or Position : OD/OWNER
Name : PHONG Q. PHAM
Credential : OD/OWNER
Telephone Number : 832-810-2020
Provider Enumeration Date : 03/17/2016
Last Update Date : 03/17/2016

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Directions to “TSO RAYFORD PA ” Practice Location

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