Organization
MED SOUTHWEST, PLLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
5224 S STATE HIGHWAY 360 STE 200, GRAND PRAIRIE, TX 75052-0958
(972) 602-4545
(972) 602-4546
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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