Amwallace, Llc

NPI 1174802631 - Optometrist - 152W00000X

NPI Details
NPI 1174802631
Enumeration Date 08/15/2011
Last Updated 08/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name AUGUST MICHAEL AUGUST
Position OWNER/ OPTOMETRIST
Phone (903) 663-2020
Fax (903) 663-2353
Practice Location
103 WEST LOOP 281
SUITE 450
LONGVIEW TX, 75605-4667, US
Phone (903) 663-2020
Fax (903) 663-2353
Business Location
103 WEST LOOP 281
SUITE 450
LONGVIEW TX, 75605-4667, US
Phone (903) 663-2020
Fax (903) 663-2353
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number T07660
Remove 1174802631 NPI Number
 

According to our database, Amwallace, Llc NPI is 1174802631, taxonomy code is 152W00000X and license number is T07660, license state is located at Texas. Amwallace, Llc physically located at 103 West Loop 281, Longview TX, 75605-4667. NPI Number 1033115704 has the healthcare provider type.

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1174802631 NPI number is provided on an as is basis without warranty of any kind. 1174802631 is maintained by the National Plan & Provider Enumeration System. The contents of Amwallace, Llc are for informational purposes only.