Healthcare Provider Details

I. General information

NPI: 1992457832
Provider Name (Legal Business Name): NUMBER 3 PROPERTIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 01/21/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19368 RONALD W. REAGAN BLVD. #130
LEANDER TX
78628
US

IV. Provider business mailing address

19368 RONALD W. REAGAN BLVD. #130
LEANDER TX
78628
US

V. Phone/Fax

Practice location:
  • Phone: 512-660-7525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NATHANIEL GARCIA SR.
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 512-660-7525