Aeg Texas Professional Pllc

NPI #1508404690 in Hondo, Texas

Provider Information

NPI Number: 1508404690
Entity Type: Organization
Organization Name: Aeg Texas Professional Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 1620 AVENUE M
City: Hondo
State: Texas
ZIP Code: 78861-1733
Phone: (830) 741-2634

Authorized Official

Name: CATHY L SHORT
Title: CREDENTIALING MANAGER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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