Med Southwest, Pllc

NPI #1548087273 in Tyler, Texas

Provider Information

NPI Number: 1548087273
Entity Type: Organization
Organization Name: Med Southwest, Pllc
Primary Specialty: Optometrist
Enumeration Date: Sep 24, 2024
Last Updated: Sep 24, 2024

Practice Location

Address: 4524 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75703-1305
Phone: (903) 581-1530

Authorized Official

Name: SUE DOWNES
Title: SECRETARY
Phone: (703) 847-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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