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Organization
TOM ANNUNZIATO, OD PC
Active
Organization
TOM ANNUNZIATO, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANNUZIATO OD (OWNER)
(817) 346-2020
Entity
Organization
Contact information
Practice address
225 SHOPS BLVD, SUITE 102, WILLOW PARK, TX 76087
(817) 346-2020
(817) 361-0758
Mailing address
3608 ALTAMESA BLVD STE A, FORT WORTH, TX 76133-5641
(817) 346-2020
(817) 361-0758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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