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Organization
VISION PLAZA
Active
Organization
VISION PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY LAWLER (MANAGER)
(972) 602-4545
Entity
Organization
Contact information
Practice address
5224 S SH 360, 200, GRAND PRAIRIE, TX 75052
(972) 602-4545
Mailing address
5224 S SH 360 STE 200, GRAND PRAIRIE, TX 75052
(972) 602-4545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6555TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6555TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
09/08/2010
Last updated
09/08/2010
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