Individual
MARK LEE SCHANBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
2540 KING ARTHUR BLVD, SUITE 103, LEWISVILLE, TX 75056-5512
(972) 899-1222
(972) 899-1222
Mailing address
2540 KING ARTHUR BLVD, SUITE 103, LEWISVILLE, TX 75056-5512
(972) 899-1222
(972) 899-1222
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
10503
TX
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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