DR. Wade Allen Konvalin, O.D.

NPI #1386642635 in Prosper, Texas

Provider Information

NPI Number: 1386642635
Entity Type: Individual
Name: DR. Wade Allen Konvalin, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 11, 2005
Last Updated: Mar 7, 2023

Practice Location

Address: 221 N PRESTON RD
Address 2: STE B
City: Prosper
State: Texas
ZIP Code: 75078-8792
Phone: (972) 347-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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