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Individual

EDWARD CARMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
8020 PARK LN, SUITE 110, DALLAS, TX 75231-6055
(972) 824-0325
Mailing address
8020 PARK LN, SUITE 110, DALLAS, TX 75231-6055
(972) 824-0325

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
223731
TX

Other

Enumeration date
01/03/2017
Last updated
01/03/2017
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