T M Visionaire, Pllc

NPI 1255763637 - Optometrist - 152W00000X

NPI Details
NPI 1255763637
Enumeration Date 08/07/2013
Last Updated 10/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name W. TWELVIS T W. TWELVIS
Position OWNER
Phone (512) 924-6297
Fax
Practice Location
404 UNIVERSITY DR E
STE B
COLLEGE STATION TX, 77840-5905, US
Phone (512) 924-6297
Fax
Business Location
404 UNIVERSITY DR E
STE B
COLLEGE STATION TX, 77840-5905, US
Phone (512) 924-6297
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 8266T
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According to our database, T M Visionaire, Pllc NPI is 1255763637, taxonomy code is 152W00000X and license number is 8266T, license state is located at Texas. T M Visionaire, Pllc physically located at 404 University Dr E, College Station TX, 77840-5905. NPI Number 1033115704 has the healthcare provider type.

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1255763637 NPI number is provided on an as is basis without warranty of any kind. 1255763637 is maintained by the National Plan & Provider Enumeration System. The contents of T M Visionaire, Pllc are for informational purposes only.