Med Southwest, PLLC
Optometrist in Plano, TX. Organization (NPI-2).
NPI number1164067294
StatusActive
Last updated in NPPESMay 29, 2022
Details
- NPI
- 1164067294
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Southwest, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2019
- Certification date
- May 29, 2022
- Last updated
- May 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
3405 Midway Rd Ste 421Plano, TX 75093-8144
Phone 972-801-2727 · Fax 972-943-3485
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
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