Individual
ALICE THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10000 RESEARCH BLVD STE 150, AUSTIN, TX 78759-5814
(512) 345-5642
Mailing address
10000 RESEARCH BLVD STE 150, AUSTIN, TX 78759-5814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9960T
TX
Other
Enumeration date
06/21/2020
Last updated
03/02/2021
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