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Organization
WAVEFRONT EYECARE & OPTICAL PA
Active
Organization
WAVEFRONT EYECARE & OPTICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAI H NGUYEN O.D. (OPTOMETRIST)
(832) 419-0773
Entity
Organization
Contact information
Practice address
1702 HWY 181 N SUITE A-3, PORTLAND, TX 78374-4172
(832) 419-0773
Mailing address
1702 HWY 181 N SUITE A-3, PORTLAND, TX 78374-4172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7574TG
TX
Other
Enumeration date
04/25/2011
Last updated
05/20/2011
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