Trussell L Thane

NPI #1609838101 in Stamford, Texas

Provider Information

NPI Number: 1609838101
Entity Type: Individual
Name: Trussell L Thane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Apr 3, 2006
Last Updated: Feb 26, 2015

Practice Location

Address: 1501 COLUMBIA ST
City: Stamford
State: Texas
ZIP Code: 79553-6882
Phone: (325) 773-2083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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