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Organization

GICHERU LASER CENTER CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIDNEY GICHERU MD (MEDICAL DIRECTOR)
(214) 574-9600
Entity
Organization

Contact information

Practice address
4708 DEXTER DR, PLANO, TX 75093-5288
(214) 574-9600
Mailing address
4708 DEXTER DR, PLANO, TX 75093-5288
(214) 574-9600

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary

Other

Enumeration date
02/07/2023
Last updated
04/29/2026
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