Organization
AEG TEXAS PROFESSIONAL PLLC
Active
Other names
Hill Country VIsion Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L SHORT (CREDENTIALING MANAGER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1620 AVENUE M, HONDO, TX 78861-1733
(830) 741-2634
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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