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Miss Kimberly Carla Haertl
Optician in Austin, Texas
NPI 1336426758

Kimberly Carla Haertl is a Optician based in Austin, TX and is specialized in Optician. Kimberly Carla Haertl practices in Austin, TX. The NPI Number for Kimberly Carla Haertl is 1336426758 and holds a License No. ABOC (Texas).

The current practice location address for Kimberly Carla Haertl is 5301 Ravensdale Ln, Austin, TX and can be reached out via phone at 512-220-3476.

Location: 5301 Ravensdale Ln, Austin, TX, 78723-4032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336426758
Provider Name
Kimberly Carla Haertl
Credential
Provider Entity Type
Individual
Gender
Female
Address
5301 Ravensdale Ln, Austin, TX, 78723-4032
Phone Number
512-220-3476
Fax Number
Provider Enumeration Date
11/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5301 Ravensdale Ln
City
Austin
State
Texas
Zip
78723-4032
Phone Number
512-220-3476
Fax Number
person
Provider Business Mailing Address Details
Address
5301 Ravensdale Ln
City
Austin
State
Texas
Zip
78723-4032
Phone Number
512-220-3476
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
ABOC (Texas)
Definition
Definition to come...
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