Canyon Lake Eye Care PLLC
Optometrist in New Braunfels, TX. Organization (NPI-2).
NPI number1124600564
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1124600564
- Entity type
- Organization (NPI-2)
- Legal business name
- Canyon Lake Eye Care PLLC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2021
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1387 Sattler Rd Unit ANew Braunfels, TX 78132-2306
Phone 830-907-2813 · Fax 866-772-0758
Mailing address
1387 Sattler Rd Unit ANew Braunfels, TX 78132-2306
Phone 830-907-2813 · Fax 866-772-0758
Authorized official
Sundip Patel
President
8309072813
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