Individual
DAT LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7924 S BROADWAY AVE, STE 200, TYLER, TX 75703-5204
(903) 617-6864
(903) 504-5758
Mailing address
830 CARRIAGE DR, TYLER, TX 75703-3682
(903) 530-5250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6516T
TX
Other
Enumeration date
04/25/2006
Last updated
01/11/2013
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