Individual
CODY JAMES LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8222 AGORA PKWY STE 116A, SELMA, TX 78154-1319
(210) 659-1479
Mailing address
8222 AGORA PKWY STE 116A, SELMA, TX 78154-1319
(210) 659-1479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10878
TX
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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