Organization
COLLIN CREEK EYE CLINIC P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR PATTNI O.D (OWNER)
(972) 596-3800
Entity
Organization
Contact information
Practice address
2821 W PARKER RD, SUITE1, PLANO, TX 75023-7950
(972) 596-3800
Mailing address
2821 W PARKER RD, SUITE1, PLANO, TX 75023-7950
(972) 596-3800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4757TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1169800001
NSC
TX
Enumeration date
04/17/2007
Last updated
11/05/2012
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