Organization
DR. LY PHAN & ASSOCIATES, P.C.
Active
Parent organization
DR. LY PHAN & ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. LY PHAN & ASSOCIATES, P.C.
Authorized official
LY KHAC PHAN O.D. (OWNER)
(972) 274-6600
Entity
Organization
Contact information
Practice address
951 W BELT LINE RD, SUITE A, DESOTO, TX 75115-3741
(972) 274-6600
(972) 274-6603
Mailing address
409 QUAIL MEADOWS LN, ARLINGTON, TX 76002-3475
(972) 274-6600
(972) 274-6603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0798TG
TX
Other
Enumeration date
05/01/2009
Last updated
07/02/2012
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