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Four Points Family Vision

Exclusive Provider Organization in Austin, TX. Organization (NPI-2).

NPI number1669797205
StatusActive
Last updated in NPPESApr 6, 2010

Details

NPI
1669797205
Entity type
Organization (NPI-2)
Legal business name
Four Points Family Vision
Organization subpart
No
Enumeration date
Apr 6, 2010
Last updated
Apr 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302F00000X Exclusive Provider Organization6347TTXYes

Practice location

8201 N Fm 620
Austin, TX 78726-4032

Phone 512-328-2015 · Fax 512-996-0477

Mailing address

8201 N Fm 620
Austin, TX 78726-4032

Phone 512-328-2015 · Fax 512-996-0477

Authorized official

Sharareh Salkhordeh
Owner
5123282015

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