Trussell Thane Od

NPI #1427228964 in Stamford, Texas

Provider Information

NPI Number
1427228964
Entity Type
Organization
Organization Name
Trussell Thane Od
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 11, 2008
Last Updated
Mar 11, 2008

Practice Location

Address
1501 COLUMBIA ST
State
Texas
ZIP Code
79553-6832
Phone
(325) 773-2083

Authorized Official

Name
KATRINA L THANE
Title
MANAGER
Phone
(325) 773-2083

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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