Organization
SMAZY ENTERPRISE IV LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (CREDENTALING MANAGER)
(561) 720-6423
Entity
Organization
Contact information
Practice address
9900 S INTERSTATE 35 STE A250, AUSTIN, TX 78748-1998
(561) 275-2020
Mailing address
9900 S INTERSTATE 35 STE A250, AUSTIN, TX 78748-1998
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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