Fadel, Emil B

Fadel, Emil B is an sole proprietor health care provider with primary practice located at 10000 Research Blvd Ste 150, Austin TX 78759-5854. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fadel, Emil B can be contacted via phone (512) 345-5642.

Contact Information

Primary practice address
10000 Research Blvd Ste 150 Austin TX 78759-5854
Fax: (512) 345-1046
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6350T Texas

Profile Details

NPI number 1972509164
LBN Legal business name Fadel, Emil B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated May 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972509164 NPPES
Texas MEDICAID 159815301

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