Individual
DR. ALISHA POONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1217 OAK KNOLL DR, FORT WORTH, TX 76117-5505
(817) 932-2498
Mailing address
1342 WOODBROOK CT, SOUTHLAKE, TX 76092-4835
(817) 932-2498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9206TG
TX
Other
Enumeration date
02/16/2017
Last updated
11/18/2017
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