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Individual

DR. CRISTIAN RADANEATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1016 S 14TH ST, KINGSVILLE, TX 78363-6422
(361) 592-4744
Mailing address
1016 S 14TH ST, KINGSVILLE, TX 78363-6422
(361) 592-4744

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5189TG
TX
152WC0802X
Corneal and Contact Management Optometrist
5189TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
5189TG
TX
152WP0200X
Pediatric Optometrist
5189TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092993701
TX
01
P01042734
MEDICARE RAILROAD
Enumeration date
07/06/2005
Last updated
06/12/2024
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