JOHNNY PHAN

MANSFIELD, TX
NPI1700268448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TX  8720)
Enumeration Date2015-06-18
Last Update Date2015-06-18
Business Address
-- JOHNNY PHAN O.D.
990 U.S. 287 FRONTAGE RD #109
MANSFIELD, TX 76063
Phone number: 817-453-4682
Mailing Address
-- JOHNNY PHAN O.D.
7552 JULIET LN
FORT WORTH, TX 76137-1096
Phone number: 817-899-5989
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