Organization
PROVIDENT EYE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEAK CHY KHAUV MD (OWNER)
(915) 240-9198
Entity
Organization
Contact information
Practice address
11212 MONTWOOD DR, EL PASO, TX 79936-4241
(915) 595-4300
(915) 595-4301
Mailing address
11212 MONTWOOD DR, EL PASO, TX 79936-4241
(915) 595-4300
(915) 595-4301
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
TX
Other
Enumeration date
10/23/2013
Last updated
05/01/2024
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