NPI 1134781792

Daniel Max & Marcandrea LLC

Organisation Eyewear Supplier Fort Worth, TX

Practice location

Address: 4619 S Hulen St, Suite C, Fort Worth, TX 76132
Phone: (682) 200-3879
Fax: (561) 828-8367
Mailing address: 3801 S Congress Ave, Palm Springs, FL 33461-4140

Authorised official

Name: Jackie Bennett
Title: Credentialing Manager
Phone: (561) 612-4531

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Texas →

Registry record

NPI: 1134781792
Entity type: Organization
NPI issued: 3 Jul 2019
Record last updated: 22 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.