Cynthia Lacy-stallworth, O.d. Llc

NPI 1083814610 - Clinic/Center - 261QH0100X

NPI Details
NPI 1083814610
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CYNTHIA CYNTHIA
Position OPTOMETRIST
Phone (713) 796-2216
Fax (713) 383-7612
Practice Location
1615 S LOOP W
HOUSTON TX, 77054-4814, US
Phone (713) 796-2216
Fax (713) 383-7612
Business Location
1615 S LOOP W
HOUSTON TX, 77054-4814, US
Phone (713) 796-2216
Fax (713) 383-7612
Toxanomy
Taxonomy Code 261QH0100X
License State Texas
License Number 06786T
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According to our database, Cynthia Lacy-stallworth, O.d. Llc NPI is 1083814610, taxonomy code is 261QH0100X and license number is 06786T, license state is located at Texas. Cynthia Lacy-stallworth, O.d. Llc physically located at 1615 S Loop W, Houston TX, 77054-4814. NPI Number 1033115704 has the healthcare provider type.

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1083814610 NPI number is provided on an as is basis without warranty of any kind. 1083814610 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Lacy-stallworth, O.d. Llc are for informational purposes only.