Organization
ALLIANCE EYE CARE ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONG (PRESIDENT)
(817) 481-8955
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, #390, GRAPEVINE, TX 76051-3580
(817) 481-8955
Mailing address
1600 W COLLEGE ST, #390, GRAPEVINE, TX 76051-3580
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G8293
TX
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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