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Organization
TEXAS RED FOX PLLC
Active
Organization
TEXAS RED FOX PLLC
Active
Other names
Eye Love Cedar Park
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA MOCK O.D. (OWNER)
(512) 956-9393
Entity
Organization
Contact information
Practice address
4701 183A TOLL RD, CEDAR PARK, TX 78613-7227
(512) 956-9393
Mailing address
4701 183A TOLL RD, CEDAR PARK, TX 78613-7227
(512) 956-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7508-TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464214
PTAN
TX
Enumeration date
07/30/2015
Last updated
01/19/2016
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