SEBASTIAN MIRABAL O.D., P.A.
Optometry at Balmoral Ln, Lewisville, TX

License number
Texas 5878TG
Category
Optometry
Type
Corneal and Contact Management
Owner
Name: DR. SEBASTIAN M MIRABAL O.D.
Title: PRESIDENT
Phone: (972) 874-2407
Address
Address
5201 Balmoral Ln, Lewisville, TX 75028
National Provider ID: 1841327145
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SEBASTIAN MIRABAL, O.D., PA

1025 Long Pr Rd STE 100, Flower Mound, TX 75022

Doing business as:
Sebastian Mirabal, O.D., PA
Registration:
Mar 1, 2002
State ID:
0800060528
Business type:
Professional Association
President, Director, Member:
Sebastian M. Mirabal (President, Director, Member)
Agent:
Mirabal Sebastian,1025 Long Pr Rd STE 100, Flower Mound, TX 75022 (Physical)
TIN:
32036779018

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