Individual
ANITA JACOB GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3060 COMMUNICATIONS PKWY STE 205, PLANO, TX 75093-1629
(214) 754-0000
Mailing address
11442 N CENTRAL EXPY, DALLAS, TX 75243-6602
(214) 754-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9193TG
TX
Other
Enumeration date
05/17/2017
Last updated
09/28/2020
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