Individual
DR. JOE R PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
3703 W GREEN OAKS BLVD, ARLINGTON, TX 76016-3328
(817) 496-6022
(817) 496-8911
Mailing address
3703 W GREEN OAKS BLVD, ARLINGTON, TX 76016-3328
(817) 496-6022
(817) 496-8911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2193TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934861 02
—
TX
01
—
0A4688
MEDICARE GROUP PTAN
TX
01
—
P00748760
MEDICARE RAILROAD
TX
Enumeration date
01/23/2006
Last updated
11/12/2009
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