Individual
KATHLEEN A HAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
31090 LAZY RIDGE, KATS EYE SHOP, WALLER, TX 77484
(936) 931-9033
(936) 931-9033
Mailing address
31090 LAZY RIDGE, KATS EYE SHOP, WALLER, TX 77484
(936) 931-9033
(936) 931-9033
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
REGISTRATIONDR0359
TX
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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