Organization
FDP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DAVID PTAK O.D. (PRESIDENT)
(817) 538-2873
Entity
Organization
Contact information
Practice address
2801 HIGHWAY 180 E, MINERAL WELLS, TX 76067-4730
(817) 538-2873
Mailing address
2418 N HUNTER PLACE LN, ARLINGTON, TX 76006-4606
(817) 538-2873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2747TG
TX
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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