Organization
LONE STAR FAMILY VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE WIDMANN O.D. (SOLE PROPRIETOR)
(254) 776-3937
Entity
Organization
Contact information
Practice address
533 N VALLEY MILLS DR, WACO, TX 76710-5234
(254) 776-3937
Mailing address
533 N VALLEY MILLS DR, WACO, TX 76710-5234
(254) 776-3937
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
3751TG
TX
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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