Dr. Ly Phan & Associates, P.C.
Optometrist in Desoto, TX. Organization (NPI-2).
NPI number1295969426
StatusActive
Last updated in NPPESJul 2, 2012
Details
- NPI
- 1295969426
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Ly Phan & Associates, P.C.
- Organization subpart
- Yes
- Enumeration date
- May 1, 2009
- Last updated
- Jul 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0798TG | TX | Yes |
Practice location
951 W Belt Line RdSuite A
Desoto, TX 75115-3741
Phone 972-274-6600 · Fax 972-274-6603
Mailing address
409 Quail Meadows LnArlington, TX 76002-3475
Phone 972-274-6600 · Fax 972-274-6603
Authorized official
Ly Khac Phan
Owner
9722746600
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