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Organization
TEXAS EYE CLINIC PC
Active
Organization
TEXAS EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY NGUYEN O.D. (DIRECTOR)
(972) 272-9455
Entity
Organization
Contact information
Practice address
3575 W WALNUT ST, C, GARLAND, TX 75042-6208
(972) 272-9455
(972) 665-0360
Mailing address
3575 W WALNUT ST, C, GARLAND, TX 75042-6208
(972) 272-9455
(972) 665-0360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5573T
TX
152W00000X
Optometrist
Primary
5741TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019087801
—
TX
01
—
11585
SPECTERA
TX
01
—
TX5741
EYEMED
TX
Enumeration date
02/28/2007
Last updated
05/03/2012
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