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Organization
SOUTHLAKE EYE ASSOCIATES, PA
Active
Organization
SOUTHLAKE EYE ASSOCIATES, PA
Active
Other names
North Texas Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY B KLOESEL O.D. (PRESIDENT OPTOMETRIST)
(817) 562-2101
Entity
Organization
Contact information
Practice address
101 RIVER OAKS DR, STE 100, SOUTHLAKE, TX 76092
(817) 562-2101
(817) 562-2201
Mailing address
101 RIVER OAKS DR, STE 100, SOUTHLAKE, TX 76092
(817) 562-2101
(817) 562-2201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4107TG
TX
Other
Enumeration date
11/09/2006
Last updated
06/21/2018
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