PHILLIPS VISION CLINIC LLC
Optometry at Texas Blvd, Texarkana, TX

License number
Texas 5480T
Category
Optometry
Type
Optometrist
Owner
Name: DR. JEFF PHILLIPS O.D.
Title: OWNER
Phone: (903) 792-3705
Address
Address
4504 Texas Blvd, Texarkana, TX 75503
National Provider ID: 1467657916
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIPS VISION CLINIC, LLC

4504 Texas Blvd, Texarkana, TX 75503

Industry:
Optometrist's Office
Registration:
Nov 22, 1999
State ID:
0705900022
Business type:
Domestic Limited Liability Company (LLC)
Governings:
Jeff Phillips (Governing), 4504 Texas Blvd, Texarkana, TX 75503,Jeff S Phillips (Governing, Governing Person),John Eric Mccall (Governing), 117 Oliver St, Douglassville, TX 75560
TIN:
17528547601

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