Individual
DR. CARMEN BAILEY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
702 LOUISIANA ST, CENTER, TX 75935-3672
(936) 598-8501
(936) 598-2311
Mailing address
PO BOX 1838, CENTER, TX 75935-1838
(936) 598-8501
(936) 598-2311
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7261TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7261TG
OPTOMETRY LICENSE
TX
Enumeration date
11/12/2008
Last updated
01/07/2010
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