Individual
ANESSA TUNPRASERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
732 W PIPELINE RD, HURST, TX 76053-4928
(817) 799-4016
Mailing address
5560 MURTON PL, FORT WORTH, TX 76137-3762
(682) 227-1307
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9915T
TX
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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