Henry, Amy Dearixon

Henry, Amy Dearixon is an sole proprietor health care provider with primary practice located at 6380 N Navarro St , Victoria TX 77904-1721. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Henry, Amy Dearixon can be contacted via phone (361) 570-2010.

Contact Information

Primary practice address
6380 N Navarro St Victoria TX 77904-1721
Fax: (361) 570-2012
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5649T Texas

Profile Details

NPI number 1770687840
LBN Legal business name Henry, Amy Dearixon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2006
Last updated Mar 8th, 2012 - about 12 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 1770687840 NPPES
Texas Other 5649T TEXAS OPTOMETRY LICENSE
Texas Other 8210SQ TEXAS OPTOMETRY LICENSE

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