Individual
KIMBERLY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8800 US HIGHWAY 380 STE 500, CROSS ROADS, TX 76227-2516
(940) 488-4228
Mailing address
8800 US-380, SUITE 500, CROSS ROADS, TX 76227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10670T
TX
152W00000X
Optometrist
Primary
10670TG
TX
Other
Enumeration date
07/07/2023
Last updated
07/12/2023
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