Organization
JOHN RANDALL TRAWNIK
Active
Other names
Dallas Eye Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RANDALL TRAWNIK B.C.O. (OWNER)
(214) 739-5355
Entity
Organization
Contact information
Practice address
4600 GREENVILLE AVE STE 240, DALLAS, TX 75206-5037
(214) 739-5355
Mailing address
4600 GREENVILLE AVE STE 240, DALLAS, TX 75206-5037
(214) 739-5355
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/06/2021
Last updated
09/20/2022
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