NPI age
21 years
Enumerated 2005-05-27
Across 7867 active optometrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1667776-01 | |
| 01 (TX) | U84439 | LEGACY MEDICARE UPIN 2001 - 2012 |
| 01 (TX) | 8C0860 | LEGACY MEDICARE PTAN 2001-2012 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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