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Organization

DR LENDON DAVIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE D HICKMAN (OFFICE MANAGER)
(940) 937-6191
Entity
Organization

Contact information

Practice address
500 2ND ST NE, CHILDRESS, TX 79201
(940) 937-6191
(940) 937-2344
Mailing address
PO BOX 660, CHILDRESS, TX 79201

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0670540001
CIGNA
Enumeration date
05/16/2008
Last updated
06/12/2008
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