20-20 Express--Dallas LLC

NPI #1902209695 in Frisco, Texas

Provider Information

NPI Number
1902209695
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
Oct 8, 2014
Last Updated
Jun 4, 2015

Practice Location

Address
2469 PRESTON RD
City
Frisco
State
Texas
ZIP Code
75034-9430
Phone
(469) 362-8625

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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