Ethelred Enterprises, Llc.

NPI #1154585180 in Waco, Texas

Provider Information

NPI Number: 1154585180
Entity Type: Organization
Organization Name: Ethelred Enterprises, Llc.
Primary Specialty: Optometrist
Enumeration Date: Jul 18, 2008
Last Updated: Jun 24, 2009

Practice Location

Address: 614 N NEW RD # 6035
City: Waco
State: Texas
ZIP Code: 76710-6035
Phone: (254) 770-1338

Authorized Official

Name: COURTNEY CHEYNE COBBS, OD
Title: OWNER/MANAGING MEMBER
Phone: (817) 408-7636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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