Individual
DR. DEBORAH ROSE EEZZUDUEMHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1323 S 27TH ST STE 400, NEDERLAND, TX 77627-6257
(409) 434-0463
Mailing address
1323 S 27TH ST STE 400, NEDERLAND, TX 77627-6257
(409) 434-0463
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L3289
TX
208000000X
Pediatrics Physician
L3289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127848101
FIRSTCARE COMMERCIAL
TX
05
—
127848102
—
TX
05
—
148956903
—
TX
05
—
148956904
—
TX
05
—
200000570A
—
OK
05
—
53074041
—
NM
01
—
77591
PRESBYTERIAN COMMERCIAL
NM
05
—
77591
—
NM
01
—
87151Z
HMO BLUE
TX
01
—
8G7981
BC/BS
TX
01
—
E003
TRIWEST
NM
01
—
G0122506
DPS
TX
Enumeration date
10/27/2005
Last updated
03/07/2023
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