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Individual

ANGELA C KOPLOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3800 N MESA ST STE B1, EL PASO, TX 79902-1535
(915) 533-1811
(855) 728-1614
Mailing address
3800 N MESA ST STE B1, EL PASO, TX 79902-1535
(915) 533-1811
(855) 728-1614

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5414T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019089401
TX
Enumeration date
02/27/2007
Last updated
01/12/2015
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