Organization
EYE RISE CLINIC
Active
Other names
Eye Rise Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE HENRIQUEZ OD (PRESIDENT)
(787) 549-8025
Entity
Organization
Contact information
Practice address
6760 WESTWORTH BLVD, WESTWORTH VILLAGE, TX 76114-4002
(682) 430-1487
Mailing address
2928 BRITTLEBUSH DR, FORT WORTH, TX 76108-2388
(682) 430-1487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7498
TX
Other
Enumeration date
12/12/2012
Last updated
10/07/2024
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