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Organization
VIDA VISION LLC
Active
Organization
VIDA VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH SI TRUONG O.D. (PRESIDENT)
(832) 372-2707
Entity
Organization
Contact information
Practice address
28902 HIGHWAY 290 STE J09, CYPRESS, TX 77433-4296
(281) 758-1342
Mailing address
2406 GENTLE BROOK CT, HOUSTON, TX 77062-3235
(713) 795-5881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6789T
TX
Other
Enumeration date
11/10/2015
Last updated
12/01/2016
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