Organization
PATMICK LLC
Active
Other names
Patrick Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JACK BRADLEY (PRINCIPAL)
(817) 370-6118
Entity
Organization
Contact information
Practice address
2255 8TH AVE, FORT WORTH, TX 76110-1812
(817) 370-6118
(817) 370-7118
Mailing address
2255 8TH AVE, FORT WORTH, TX 76110-1812
(817) 370-6118
(817) 370-7118
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DRO166
TX
Other
Enumeration date
12/26/2007
Last updated
07/27/2017
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