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1558799833
PROVIDENT EYE SPECIALISTS, PA
EL PASO, TX
NPI
1558799833
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Entity Type
Organization
Authorized Contact
KEAK CHY KHAUV
Owner
915-240-9198
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2013-10-23
Last Update Date
2024-05-01
Business Address
PROVIDENT EYE SPECIALISTS, PA
11212 MONTWOOD DR
EL PASO, TX 79936-4241
Phone number: 915-595-4300
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Mailing Address
PROVIDENT EYE SPECIALISTS, PA
11212 MONTWOOD DR
EL PASO, TX 79936-4241
Phone number: 915-595-4300
Copy
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