Organization
HANSA ANONETAPIPAT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANSA ANONETAPIPAT OD (OPTOMETRIST)
(713) 885-1902
Entity
Organization
Contact information
Practice address
5270 S STATE HIGHWAY 360, GRAND PRAIRIE, TX 75052-8307
(972) 602-2010
Mailing address
3931 N HALL ST, DALLAS, TX 75219-3605
(713) 885-1902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX7134
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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