Healthcare Provider Details

I. General information

NPI: 1174736433
Provider Name (Legal Business Name): TNO PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 W WHEATLAND RD SUITE A
DALLAS TX
75237-3453
US

IV. Provider business mailing address

3155 W WHEATLAND RD SUITE A
DALLAS TX
75237-3453
US

V. Phone/Fax

Practice location:
  • Phone: 972-283-3937
  • Fax:
Mailing address:
  • Phone: 972-283-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5652T
License Number StateTX

VIII. Authorized Official

Name: DR. TRI M VUONG
Title or Position: PRESIDENT
Credential: O.D.
Phone: 972-283-3937