Individual
DR. MARISSA IZABEL SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9900 W PARMER LN STE 210, AUSTIN, TX 78717-4970
(512) 339-2020
Mailing address
11305 CULZEAN CASTLE DR, AUSTIN, TX 78717-2400
(432) 664-2507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9191TG
TX
152W00000X
Optometrist
OPT003031
GA
Other
Enumeration date
07/05/2017
Last updated
12/17/2020
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