20/20 Express-Dallas, LLC

NPI #1114318250 in Farmers Branch, Texas

Provider Information

NPI Number
1114318250
Entity Type
Organization
Organization Name
20/20 Express-Dallas, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
20/20 EXPRESS-DALLAS, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Feb 11, 2015
Last Updated
Feb 11, 2015

Practice Location

Address
13800 SENLAC DR
Address 2
SUITE 200
State
Texas
ZIP Code
75234-8838
Phone
(972) 488-2016

Authorized Official

Name
KAREN PITTMAN
Title
DIRECTOR OF MANAGED CARE
Phone
(920) 997-1583

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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