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Individual

BARBARA ELLEN HYLER STIVALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
655 TAYLOR ST, FORT WORTH, TX 76102-4821
(817) 289-6800
(817) 289-6825
Mailing address
655 TAYLOR ST, FORT WORTH, TX 76102-4821
(713) 743-1921
(713) 743-0963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10852
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10852
OPTOMETRY LICENSE
TX
Enumeration date
06/27/2023
Last updated
06/27/2023
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