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Organization
PAULINA PHAN OD PA
Active
Organization
PAULINA PHAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINA PHAN O.D. (OWNER)
(972) 255-6123
Entity
Organization
Contact information
Practice address
3837 IRVING MALL, IRVING, TX 75062-5159
(972) 255-6123
(972) 255-6174
Mailing address
3837 IRVING MALL, IRVING, TX 75062-5159
(972) 255-6123
(972) 255-6174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5445TG
TX
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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