Warren David Awalt OD

NPI 1578535746 - Optometrist - 152W00000X

NPI Details
NPI 1578535746
Gender Male
Enumeration Date 02/02/2006
Last Updated 01/08/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1422 B LOOP 336 W
CONROE TX, 77304, US
Phone (936) 539-2020
Fax (936) 756-7916
Business Location
1422 B LOOP 336 W
CONROE TX, 77304, US
Phone (936) 539-2020
Fax (936) 756-7916
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 4217T
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According to our database, Dr. Warren David Awalt OD NPI is 1578535746, taxonomy code is 152W00000X and license number is 4217T, license state is located at Texas. Warren David Awalt OD physically located at 1422 B Loop 336 W, Conroe TX, 77304. NPI Number Warren David Awalt OD has the Individual type.

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1578535746 NPI number is provided on an as is basis without warranty of any kind. 1578535746 is maintained by the National Plan & Provider Enumeration System. The contents of Warren David Awalt OD are for informational purposes only.