Wild, Tristan Leigh
Wild, Tristan Leigh is an individual health care provider with primary practice located at 1700 Ranch Road 620 S #A, Lakeway TX 78734-6245. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wild, Tristan Leigh can be contacted via phone (512) 263-9970.Contact Information
Primary practice address
1700 Ranch Road 620 S #A
Lakeway TX 78734-6245
Phone: (512) 263-9970
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7438T | Texas |
Profile Details
| NPI number | 1164656716 |
|---|---|
| LBN Legal business name | Wild, Tristan Leigh |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2009 |
| Last updated | Jul 5th, 2009 - about 16 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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