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Organization
TA EYE ASSOCIATES, PLLC
Active
Organization
TA EYE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE TA O.D. (PRESIDENT)
(843) 450-0746
Entity
Organization
Contact information
Practice address
3811 S COOPER ST, SUITE #2004, ARLINGTON, TX 76015-4120
(817) 472-5050
Mailing address
3811 S COOPER ST, SUITE #2004, ARLINGTON, TX 76015-4120
(817) 472-5050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7771TG
TX
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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