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Organization
NARIN PETIKUN OD PA
Active
Organization
NARIN PETIKUN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARIN PETIKUN (PRESIDENT)
(972) 293-7061
Entity
Organization
Contact information
Practice address
621 UPTOWN BLVD, A, CEDAR HILL, TX 75104-3508
(972) 293-7061
Mailing address
3652 EDEN DR, DALLAS, TX 75287-6261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179131101
—
TX
Enumeration date
04/25/2007
Last updated
04/28/2015
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