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Organization
TEXARKANA EYE CARE CENTER LLP
Active
Organization
TEXARKANA EYE CARE CENTER LLP
Active
Other names
Vision Source of Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN O.D. (PRESIDENT)
(903) 276-7753
Entity
Organization
Contact information
Practice address
4401 GALLERIA OAKS DR, TEXARKANA, TX 75503-4675
(903) 838-9063
(903) 838-9063
Mailing address
4401 GALLERIA OAKS DR, TEXARKANA, TX 75503-4675
(903) 838-9063
(903) 838-9074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163420722
—
AR
05
—
183465701
—
TX
Enumeration date
05/27/2006
Last updated
10/25/2021
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