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Organization

LYLE FREEDMAN MD HUGULEY OPTICAL

Active
Parent organization
LYLE E. FREEDMAN, MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
LYLE E. FREEDMAN, MD
Authorized official
DR. LYLE E. FREEDMAN MD (OWNER)
(817) 551-5600
Entity
Organization

Contact information

Practice address
11803 S FREEWAY, STE 114-116, FORT WORTH, TX 76115-0426
(817) 551-5600
Mailing address
PO BOX 6426, FORT WORTH, TX 76115-0426
(817) 551-5600

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
MDG2369
TX

Other

Enumeration date
08/17/2006
Last updated
04/14/2008
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