Individual
JEFFREY XUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2225 W INTERSTATE 20, GRAND PRAIRIE, TX 75052-3926
(972) 602-3937
Mailing address
518 LEISURE CT, COPPELL, TX 75019-2533
(214) 641-9124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9573T
TX
Other
Enumeration date
10/08/2018
Last updated
06/08/2021
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