Jeffrey Xue, OD | |
2225 W Interstate 20, Grand Prairie, TX 75052-3926 | |
(972) 602-3937 | |
Not Available |
Full Name | Jeffrey Xue |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2225 W Interstate 20, Grand Prairie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255806055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9573T (Texas) | Primary |
Provider Name | Ht Clarity Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568086015 PECOS PAC ID: 6608292255 Enrollment ID: O20201202002139 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Xue, OD 518 Leisure Ct, Coppell, TX 75019-2533 Ph: (214) 641-9124 | Jeffrey Xue, OD 2225 W Interstate 20, Grand Prairie, TX 75052-3926 Ph: (972) 602-3937 |
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