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603 Kirby Rd, Seabrook, TX 77586-5202 | |
(832) 753-4073 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 603 Kirby Rd, Seabrook, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497231435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 8948T.G (Texas) | Primary |
Provider Name | Ellen Fandry |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205288057 PECOS PAC ID: 2567740111 Enrollment ID: I20161102000139 |
Provider Name | Khanh K Dan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851904296 PECOS PAC ID: 0749691996 Enrollment ID: I20201119002830 |
Mailing Address | Practice Location Address |
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603 Kirby Rd, Seabrook, TX 77586-5202 Ph: (832) 753-4073 | 603 Kirby Rd, Seabrook, TX 77586-5202 Ph: (832) 753-4073 |
Dr. Linda Jeanette Dolven, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2529 Breaux Trce, Seabrook, TX 77586 Phone: 281-630-1379 Fax: 281-630-1379 |