Organization
KP EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PHUONG PHAN OD (OPTOMETRIST)
(512) 251-8282
Entity
Organization
Contact information
Practice address
18700 LIMESTONE COMMERCIAL DR, PFLUGERVILLE, TX 78660-6544
(512) 251-8282
Mailing address
18700 LIMESTONE COMMERCIAL DR, PFLUGERVILLE, TX 78660-6544
(512) 251-8282
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
7380T
TX
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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