JENNY FAN, OD PA
Optometry at 15 St, Plano, TX

License number
Texas 5093TG
Category
Optometry
Type
Optometrist
Owner
Name: DR. WILLIAM FAN O.D.
Title: SECRETARY
Phone: (972) 262-4391
Address
Address
708 E 15Th St SUITE A, Plano, TX 75074
National Provider ID: 1275689804
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JENNY FAN, O.D., PA

708 E 15 St STE A, Plano, TX 75074

Doing business as:
Jenny Fan, O.D., PA
Registration:
Apr 20, 2004
State ID:
0800331660
Business type:
Professional Association
President, Director, Member:
Jenny Fan (President, Director, Member)
TIN:
12010196512

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