Organization
MEL DALLAS LOVE FIELD LLC
Active
Other names
My Eyelab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (MANAGED CARE DIRECTOR)
(561) 720-6423
Entity
Organization
Contact information
Practice address
3701 W NORTHWEST HWY STE 430, DALLAS, TX 75220-4955
(956) 335-6476
Mailing address
1784 W MCDERMOTT DR STE 110, ALLEN, TX 75013-3396
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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