Individual
JONATHAN AVERY JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4501 JOE RAMSEY BLVD E STE 110, GREENVILLE, TX 75401-7838
(903) 454-1886
(903) 455-3055
Mailing address
PO BOX 8457, GREENVILLE, TX 75404-8457
(903) 454-1886
(903) 455-3055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9739T
TX
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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