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Organization
WALLER FAMILY EYECARE
Active
Organization
WALLER FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSAY OWEN OD (OWNER/OPTOMETRIST)
(936) 372-3644
Entity
Organization
Contact information
Practice address
31315 FM 2920 RD, SUITE 19, WALLER, TX 77484-8049
(936) 372-3644
(936) 372-3243
Mailing address
31315 FM 2920 RD, SUITE 19, WALLER, TX 77484-8049
(936) 372-3644
(936) 372-3243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6241TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173420401
—
TX
Enumeration date
09/06/2007
Last updated
08/23/2010
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