Organization
CONWAL CORP
Active
Other names
DUNCANVILLE OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER O HACKFELD (PRESIDENT)
(972) 298-5800
Entity
Organization
Contact information
Practice address
533 W WHEATLAND RD, DUNCANVILLE, TX 75116-4515
(972) 298-5800
Mailing address
502 TOWNE PL, DUNCANVILLE, TX 75116-4929
(972) 298-5800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0865750-01
—
TX
Enumeration date
02/15/2007
Last updated
03/06/2013
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