| |
405 S Main Ave, #300, Monahans, TX 79756-4516 | |
(432) 943-3288 | |
(432) 943-2798 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 405 S Main Ave, Monahans, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952468266 | NPI | - | NPPES |
180912101 | Medicaid | TX | |
0032FG | Other | TX | BCBS(MID GROUP) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
405 S Main Ave, #300, Monahans, TX 79756-4516 Ph: (432) 943-3288 | 405 S Main Ave, #300, Monahans, TX 79756-4516 Ph: (432) 943-3288 |