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Organization
MICHAEL D CONTE ODPC
Active
Organization
MICHAEL D CONTE ODPC
Active
Parent organization
MICHAEL D CONTE ODPC
Other names
Azle Vision Source
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL D CONTE ODPC
Authorized official
MRS. BETTY MCWILLIAMS ABOC (PRACTICE ADMIN.)
(817) 626-4441
Entity
Organization
Contact information
Practice address
601 NORTHWEST PKWY, SUITE B, AZLE, TX 76020-2930
(817) 444-1717
(817) 270-5100
Mailing address
601 NORTHWEST PKWY, SUITE B, AZLE, TX 76020-2930
(817) 444-1717
(817) 270-5100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3120TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417951179
NPI
TX
01
—
8A3015
MEDICARE
TX
Enumeration date
04/09/2008
Last updated
04/09/2008
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