Organization
HP PURE VISION EYE CARE PLLC
Active
Parent organization
HP PURE VISION EYE CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HP PURE VISION EYE CARE PLLC
Authorized official
MYCHELE TRAN (OWNER)
(817) 704-4010
Entity
Organization
Contact information
Practice address
2815 AZLE AVE, FORT WORTH, TX 76106-5106
(817) 704-4010
Mailing address
2815 AZLE AVE, FORT WORTH, TX 76106-5106
(817) 704-4010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7142TG
TX
Other
Enumeration date
07/20/2012
Last updated
07/23/2012
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