Ha-le Trieu Od Pa | |
8520 N Beach St, Fort Worth, TX 76244-4918 | |
(817) 503-9798 | |
Not Available |
Full Name | Ha-le Trieu Od Pa |
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Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 8520 N Beach St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821860214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Primary |
Provider Name | Ha Trieu |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356494694 PECOS PAC ID: 3870937709 Enrollment ID: I20240220001466 |
Mailing Address | Practice Location Address |
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Ha-le Trieu Od Pa 11509 Royston St, Fort Worth, TX 76244-2539 Ph: (817) 503-9798 | Ha-le Trieu Od Pa 8520 N Beach St, Fort Worth, TX 76244-4918 Ph: (817) 503-9798 |
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