Individual
DR. ANJONETTE L COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9816 N BEACH ST, STE 101, FORT WORTH, TX 76244-6184
(817) 741-2020
(817) 741-3937
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6164TG
TX
Other
Enumeration date
11/01/2005
Last updated
05/06/2022
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