Individual
JORDAN MUTSCHINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
747 HIGHWAY 71 W STE A-550, BASTROP, TX 78602-4096
(512) 284-2570
Mailing address
747 HIGHWAY 71 W STE A-550, BASTROP, TX 78602-4096
(512) 284-2570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8746T
TX
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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