Organization
COLLEYVILLE VISION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE HICKMAN (OFFICE ADMINISTRATOR)
(817) 428-0400
Entity
Organization
Contact information
Practice address
1213 HALL JOHNSON RD, SUITE 300, COLLEYVILLE, TX 76034-5847
(817) 428-0400
Mailing address
1213 HALL JOHNSON RD, SUITE 300, COLLEYVILLE, TX 76034-5847
(817) 428-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3802TG
TX
Other
Enumeration date
01/25/2008
Last updated
01/19/2012
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