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Organization
VALLEY RANCH FAMILY EYE CARE PLLC
Active
Organization
VALLEY RANCH FAMILY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM QATTAN OD (OWNER)
(817) 713-8331
Entity
Organization
Contact information
Practice address
820 S MACARTHUR BLVD STE 135, COPPELL, TX 75019-4221
(817) 713-8331
Mailing address
1918 HIDDEN TRAIL DR, LEWISVILLE, TX 75067-5539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9326-TG
OPTOMETRY LICENSE
TX
Enumeration date
02/23/2023
Last updated
04/04/2023
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