Kathy McCain
Optometrist in Mesquite, TX. Organization (NPI-2).
NPI number1730438284
StatusActive
Last updated in NPPESAug 2, 2013
Details
- NPI
- 1730438284
- Entity type
- Organization (NPI-2)
- Legal business name
- Kathy McCain
- Organization subpart
- No
- Enumeration date
- Aug 30, 2012
- Last updated
- Aug 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4399T | TX | Yes |
| 152W00000X | Optometrist | 5839T | TX |
Practice location
6000 Town East MallMesquite, TX 75150-4132
Phone 972-279-5411 · Fax 972-279-5411
Mailing address
6000 Town East MallMesquite, TX 75150-4132
Phone 972-279-5411 · Fax 972-279-5411
Authorized official
Kathy McCain
Optometrist
9722795411
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