| Elysian Eyecare Pllc | |
|
1971 Highway 287 N Ste 105 Mansfield TX 76063-8983 | |
| (817) 453-7591 | |
| (817) 453-7715 |
| Full Name | Elysian Eyecare Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1971 Highway 287 N Ste 105, Mansfield, Texas |
| Authorized Official Name and Position | Phuong Pham (OPTOMETRIST) |
| Authorized Official Contact | 3472791020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Eyecare Pllc 1971 Highway 287 N Ste 105 Mansfield TX 76063-8983 Ph: (817) 453-7591 | Elysian Eyecare Pllc 1971 Highway 287 N Ste 105 Mansfield TX 76063-8983 Ph: (817) 453-7591 |
| NPI Number | 1013502004 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013502004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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