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NPI Code Detail

MEDICARE: DR. ISAAC STEVEN SCHUNK O.D.

MEDICARE: DR. ISAAC STEVEN SCHUNK O.D.
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
1152W00000XOptometrist9561TGTX

General Provider Information

NPI Number : 1932413622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISAAC STEVEN SCHUNK O.D.
Provider Business Mailing Address
First Line : 1334 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-6411
Country : US
Telephone Number : 817-461-4453
Fax Number :
Provider Business Practice Location Address
First Line : 1334 E PIONEER PKWY
Second Line :
City : ARLINGTON
State : TX
Zip : 76010-6411
Country : US
Telephone Number : 817-461-4453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2010
Last Update Date : 09/13/2018

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