Individual
DR. ENRIQUE CARLOS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6344 MERCURY CV, BARTLETT, TN 38134-4669
(508) 410-1671
Mailing address
6344 MERCURY CV, BARTLETT, TN 38134-4669
(508) 410-1671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3294
TN
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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