Ethan David Royster

NPI #1417479684 in Wylie, Texas

Provider Information

NPI Number: 1417479684
Entity Type: Individual
Name: Ethan David Royster
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 10, 2017
Last Updated: Jul 10, 2017

Practice Location

Address: 130 N BALLARD AVE
City: Wylie
State: Texas
ZIP Code: 75098-4467
Phone: 19724299090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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