Family Eye Care Clinic Pc

NPI 1790755197 - Optometrist - 152W00000X

NPI Details
NPI 1790755197
Enumeration Date 01/26/2006
Last Updated 02/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDAL M RANDAL
Position PRESIDENT
Phone (903) 796-8288
Fax (903) 796-9071
Practice Location
719 W MAIN ST
ATLANTA TX, 75551-3425, US
Phone (903) 796-8288
Fax (903) 796-9071
Business Location
719 W MAIN ST
ATLANTA TX, 75551-3425, US
Phone (903) 796-8288
Fax (903) 796-9071
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2702TG
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According to our database, Family Eye Care Clinic Pc NPI is 1790755197, taxonomy code is 152W00000X and license number is 2702TG, license state is located at Texas. Family Eye Care Clinic Pc physically located at 719 W Main St, Atlanta TX, 75551-3425. NPI Number 1033115704 has the healthcare provider type.

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1790755197 NPI number is provided on an as is basis without warranty of any kind. 1790755197 is maintained by the National Plan & Provider Enumeration System. The contents of Family Eye Care Clinic Pc are for informational purposes only.