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Individual
DR. TYLER CHARLES SMITH
Active
Individual
DR. TYLER CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7719TG
TX
Other
Enumeration date
07/15/2011
Last updated
10/04/2011
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