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20-20 Express--Houston LLC

Eyewear Supplier (Equipment, not the service) in Houston, TX. Organization (NPI-2).

NPI number1114320892
StatusActive
Last updated in NPPESJun 4, 2015

Details

NPI
1114320892
Entity type
Organization (NPI-2)
Legal business name
20-20 Express--Houston LLC
Organization subpart
Yes
Enumeration date
Oct 8, 2014
Last updated
Jun 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

2903 Woodridge Dr
Suite 190
Houston, TX 77087-2552

Phone 713-242-0247 · Fax 972-277-3176

Mailing address

2903 Woodridge Dr
Suite 190
Houston, TX 77087-2552

Phone 713-242-0247 · Fax 972-277-3176

Authorized official

Karen Pittman
Director Of Managed Care
9209971583

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