Organization · NPI-2

20-20 Express--Dallas LLC

Eyewear Supplier (Equipment, not the service) · Denton, TX

NPI number1932502622
StatusActive
Last updated in NPPESJun 4, 2015

Details

NPI
1932502622
Entity type
Organization (NPI-2)
Legal business name
20-20 Express--Dallas LLC
Organization subpart
Yes
Enumeration date
Oct 8, 2014
Last updated
Jun 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

2215 S Loop 288
Suite 306 & 308
Denton, TX 76205-4981

Phone 940-382-9842 · Fax 972-277-3176

Mailing address

2215 S Loop 288
Suite 306 & 308
Denton, TX 76205-4981

Phone 940-382-9842 · Fax 972-277-3176

Authorized official

Karen Pittman
Director Of Managed Care
9209971583

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