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NPI Code Detail

MEDICARE: AVS VISION RUFE SNOW LLC

MEDICARE: AVS VISION RUFE SNOW LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1417523226
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVS VISION RUFE SNOW LLC
Provider Business Mailing Address
First Line : 5228 RUFE SNOW DR
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5228 RUFE SNOW DR
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6652
Country : US
Telephone Number : 561-275-2020
Fax Number : 561-828-8367
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : DANIEL GARZA
Credential :
Telephone Number : 561-720-6423
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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Directions to “AVS VISION RUFE SNOW LLC ” Practice Location

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