Organization
20-20 EXPRESS--DALLAS LLC
Active
Parent organization
20-20 EXPRESS--DALLAS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
20-20 EXPRESS--DALLAS LLC
Authorized official
KAREN PITTMAN (DIRECTOR OF MANAGED CARE)
(920) 997-1583
Entity
Organization
Contact information
Practice address
4614 SW LOOP 820, FORT WORTH, TX 76109-4418
(817) 732-2706
(972) 277-3176
Mailing address
4614 SW LOOP 820, FORT WORTH, TX 76109-4418
(817) 732-2706
(972) 277-3176
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
06/04/2015
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