| Marianna Konradi Od Pllc | |
|
4722 S 14th St Abilene TX 79605-4733 | |
| (325) 704-8797 | |
| (844) 801-2454 |
| Full Name | Marianna Konradi Od Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4722 S 14th St, Abilene, Texas |
| Authorized Official Name and Position | Marianna Konradi (BUSINESS OWNER) |
| Authorized Official Contact | 3257048797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marianna Konradi Od Pllc 4722 S 14th St Abilene TX 79605-4733 Ph: (325) 704-8797 | Marianna Konradi Od Pllc 4722 S 14th St Abilene TX 79605-4733 Ph: (325) 704-8797 |
| NPI Number | 1760151138 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 3274930433 |
|---|---|
| Medicare Enrollment ID | O20210930002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760151138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Marianna Konradi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598215436 PECOS PAC ID: 8820375769 Enrollment ID: I20170503000461 |
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