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Individual

EDWARD NEIL MENDELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0039
(214) 645-0078
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-0039
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03666T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037449801
TX
Enumeration date
03/16/2006
Last updated
11/07/2013
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