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Individual

DR. BITA YOUSEFI GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Mailing address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6439TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E41Y
GROUP PIN
TX
01
1234530001
GROUP DMERC
TX
01
1588611172
NPI
TX
01
1902852346
GROUP NPI
TX
01
752711435
GROUP TAX ID
TX
Enumeration date
05/28/2006
Last updated
05/07/2010
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