Smazy Enterprise IV LLC

NPI #1043987605 in Austin, Texas

Provider Information

NPI Number
1043987605
Entity Type
Organization
Organization Name
Smazy Enterprise IV LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 23, 2021
Last Updated
Aug 23, 2021

Practice Location

Address
9900 S INTERSTATE 35 STE A250
City
Austin
State
Texas
ZIP Code
78748-1998
Phone
(561) 275-2020

Authorized Official

Name
DANIEL GARZA
Title
CREDENTIALING MANAGER
Phone
(561) 720-6423

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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