Individual
IBRAHIM QATTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3111 UNICORN LAKE BLVD STE 100, DENTON, TX 76210-0118
(940) 891-3937
(940) 591-8368
Mailing address
3111 UNICORN LAKE BLVD STE 100, DENTON, TX 76210-0118
(940) 891-3937
(940) 591-8368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9326T
TX
152WC0802X
Corneal and Contact Management Optometrist
9326T
TX
152WP0200X
Pediatric Optometrist
9326T
TX
152WX0102X
Occupational Vision Optometrist
9326T
TX
Other
Enumeration date
03/12/2018
Last updated
11/24/2020
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