| |
1221 Fm 1187 E, Crowley, TX 76036-4370 | |
(817) 782-9972 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1221 Fm 1187 E, Crowley, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932652179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 8558TG (Texas) | Primary |
Mailing Address | Practice Location Address |
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701 E Bluff St Apt 6105, Fort Worth, TX 76102-2368 Ph: (318) 775-9834 | 1221 Fm 1187 E, Crowley, TX 76036-4370 Ph: (817) 782-9972 |
Dr. Agnes Kim, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Fm 1187 E, Crowley, TX 76036 Phone: 817-782-9972 |