Individual
ELLE REQUINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2662 W LUCAS RD, LUCAS, TX 75002-7513
(469) 675-8559
Mailing address
1535 FALLCREEK CT, ALLEN, TX 75002-4941
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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