Organization
FADEL EYE GROUP, LLC
Active
Parent organization
FADEL EYE PRO, INC
Other names
Lubbock Eye Professionals
Organization subpart
Yes
Provider details
NPI number
Legal business name
FADEL EYE PRO, INC
Authorized official
JIMMY PRICE (CREDENTIALING COORD)
(832) 277-6870
Entity
Organization
Contact information
Practice address
6002 SLIDE RD STE 68448, LUBBOCK, TX 79414-4341
(806) 771-3926
(281) 894-5393
Mailing address
PO BOX 68448, LUBBOCK, TX 68448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/28/2018
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