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NPI Code Detail

MEDICARE: PEDIATRIC OPHTHALMOLOGY PARTNERS OF TEXAS PLLC

MEDICARE: PEDIATRIC OPHTHALMOLOGY PARTNERS OF TEXAS PLLC
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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1861231466
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC OPHTHALMOLOGY PARTNERS OF TEXAS PLLC
Provider Business Mailing Address
First Line : 5904 CHAPEL HILL BLVD STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-5913
Country : US
Telephone Number : 469-991-9622
Fax Number : 469-991-9623
Provider Business Practice Location Address
First Line : 5904 CHAPEL HILL BLVD STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-5913
Country : US
Telephone Number : 469-991-9622
Fax Number : 469-991-9623
Authorized Official
Title or Position : PHYSICIAN
Name : DR. LORI DAO
Credential : MD
Telephone Number : 469-991-9622
Provider Enumeration Date : 05/22/2024
Last Update Date : 05/22/2024

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Directions to “PEDIATRIC OPHTHALMOLOGY PARTNERS OF TEXAS PLLC ” Practice Location

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