Pholvichitr, Paul P
Pholvichitr, Paul P is an sole proprietor health care provider with primary practice located at 1509 N Zaragoza Rd , El Paso TX 79936. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pholvichitr, Paul P can be contacted via phone (915) 779-7355.Contact Information
Primary practice address
1509 N Zaragoza Rd
El Paso TX 79936
Phone: (915) 779-7355
Fax: (915) 778-0520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4859T | Texas |
Profile Details
| NPI number | 1700835782 |
|---|---|
| LBN Legal business name | Pholvichitr, Paul P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700835782 | NPPES |
| Texas | MEDICAID | 0192676-01 |
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