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Organization
VISION PALACE, P.C.
Active
Organization
VISION PALACE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUIESHA DENISE WOODS (OFFICE MANAGER)
(972) 274-6600
Entity
Organization
Contact information
Practice address
3751 MATLOCK RD STE 115, ARLINGTON, TX 76015-4342
(817) 375-9000
(817) 375-9005
Mailing address
3751 MATLOCK RD STE 115, ARLINGTON, TX 76015-4342
(817) 375-9000
(817) 375-9005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07098TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07098TG
LICENSE NUMBER
TX
Enumeration date
08/10/2012
Last updated
08/10/2012
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