Organization
MANSFIELD VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE COOKE (OWNER)
(817) 453-4682
Entity
Organization
Contact information
Practice address
990 HIGHWAY 287 N STE 109, MANSFIELD, TX 76063-2611
(817) 453-4682
Mailing address
990 HIGHWAY 287 N STE 109, MANSFIELD, TX 76063-2611
(817) 453-4682
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4960TG
TX
Other
Enumeration date
04/16/2008
Last updated
04/18/2012
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