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Individual

KEVIN RICHARD WAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2610 W UNIVERSITY DR STE 1240, DENTON, TX 76201-1627
(940) 783-4470
Mailing address
4001 CLARK PKWY, PLANO, TX 75093-8540
(214) 517-5036

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10176
TX
390200000X
Student in an Organized Health Care Education/Training Program
10176
TX

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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