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410 Bolivar St, Sanger, TX 76266-8961 | |
(940) 458-3937 | |
(940) 458-3462 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 410 Bolivar St, Sanger, 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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1033503032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 7165TG (Texas) | Primary |
Provider Name | Andrew D Warren |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023203981 PECOS PAC ID: 9133208549 Enrollment ID: I20080509000135 |
Provider Name | Kasey W Warren |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003001298 PECOS PAC ID: 2860571270 Enrollment ID: I20080509000143 |
Mailing Address | Practice Location Address |
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Po Box 909, Sanger, TX 76266-0909 Ph: () - | 410 Bolivar St, Sanger, TX 76266-8961 Ph: (940) 458-3937 |