WILLIAM FAN, OD PA

GRAND PRAIRIE, TX
NPI1710021274
Entity TypeOrganization
Authorized ContactWILLLIAM FAN
President
972-262-4391
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: TX  4925TG)
Enumeration Date2007-02-17
Last Update Date2009-03-23
Business Address
WILLIAM FAN, OD PA
625 W DICKEY RD
GRAND PRAIRIE, TX 75051-3129
Phone number: 972-262-4391
Mailing Address
WILLIAM FAN, OD PA
625 W DICKEY RD
GRAND PRAIRIE, TX 75051-3129
Phone number: 972-262-4391
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