Individual
LINDA M PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4301 W WILLIAM CANNON DR, #B210, AUSTIN, TX 78749-1473
(512) 328-0015
(512) 328-7638
Mailing address
4301 W WILLIAM CANNON DR, #B210, AUSTIN, TX 78749-1473
(512) 328-0015
(512) 328-7638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7378TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7378TG
OPTOMETRY LICENSE
TX
Enumeration date
06/26/2009
Last updated
03/01/2011
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