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Organization
PHANILY EYECARE, PA
Active
Organization
PHANILY EYECARE, PA
Active
Other names
PERFECT VISION ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAOTAM THUY PHAN OD (THERAPEUTIC OPTOMETRIST)
(281) 242-2946
Entity
Organization
Contact information
Practice address
5846 NEW TERRITORY BLVD, SUGAR LAND, TX 77479-5948
(281) 242-2946
(281) 242-2947
Mailing address
5846 NEW TERRITORY BLVD, SUGAR LAND, TX 77479-5948
(284) 242-2946
(281) 242-2947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6247TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169663501
—
TX
Enumeration date
09/27/2007
Last updated
07/08/2009
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