Individual
DR. CRAIG T HENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5001 N PIEDRAS ST, VA CLINIC, EL PASO, TX 79930-4210
(915) 564-6195
(915) 564-7940
Mailing address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05067TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120568405
—
TX
Enumeration date
01/26/2006
Last updated
04/21/2009
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