Med Southwest, Pllc

NPI #1861093353 in Grapevine, Texas

Provider Information

NPI Number: 1861093353
Entity Type: Organization
Organization Name: Med Southwest, Pllc
Primary Specialty: Optometrist
Enumeration Date: Nov 3, 2020
Last Updated: May 30, 2022

Practice Location

Address: 819 IRA E WOODS AVE
City: Grapevine
State: Texas
ZIP Code: 76051-4012
Phone: (817) 488-4893

Authorized Official

Name: SUE DOWNES
Title: SECRETARY
Phone: (703) 847-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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