Elysian Eyecare Pllc

NPI #1013502004 in Mansfield, Texas

Provider Information

NPI Number: 1013502004
Entity Type: Organization
Organization Name: Elysian Eyecare Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Mar 2, 2021
Last Updated: Mar 2, 2021

Practice Location

Address: 1971 HIGHWAY 287 N STE 105
City: Mansfield
State: Texas
ZIP Code: 76063-8983
Phone: (817) 453-7591

Authorized Official

Name: PHUONG PHAM, OD
Title: OPTOMETRIST
Phone: (347) 279-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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