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Organization
VISION SOURCE - COPPERFIELD PA
Active
Organization
VISION SOURCE - COPPERFIELD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WICK OD, PHD (PRESIDENT)
(281) 933-3446
Entity
Organization
Contact information
Practice address
7603 HIGHWAY 6 NORTH, HOUSTON, TX 77095
(281) 859-8000
(281) 859-4507
Mailing address
13615 BELLAIRE BLVD, HOUSTON, TX 77083-1714
(281) 933-3446
(281) 933-6865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4042TG
TX
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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