Organization
SEBASTIAN MIRABAL O.D., P.A.
Active
Other names
LAKESIDE EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBASTIAN M MIRABAL O.D. (PRESIDENT)
(972) 874-2407
Entity
Organization
Contact information
Practice address
5201 BALMORAL LN, FLOWER MOUND, TX 75028-1669
(972) 874-2407
(972) 874-2733
Mailing address
5201 BALMORAL LN, FLOWER MOUND, TX 75028-1669
(972) 874-2407
(972) 874-2733
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5878TG
TX
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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