Individual
MEI SAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4206 KEMP BLVD, STE. B, WICHITA FALLS, TX 76308-2845
(940) 696-2653
Mailing address
4206 KEMP BLVD, STE. B, WICHITA FALLS, TX 76308-2845
(940) 696-2653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8299T
TX
Other
Enumeration date
08/13/2013
Last updated
04/14/2015
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