Organization
DAVID W TYBOR OD PC
Active
Other names
Oak Hill Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMARA R HARPER (OFFICE ASSISTANT)
(512) 288-0444
Entity
Organization
Contact information
Practice address
6000 W WILLIAM CANNON DR, BLDG A STE 100, AUSTIN, TX 78749-1975
(512) 288-0444
(512) 288-1009
Mailing address
6000 W WM CANNON, BLDG A STE 100, AUSTIN, TX 78749
(512) 288-0444
(512) 288-1009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3233TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E28C
BLUE CROSS BLUE SHIELD
TX
05
—
1123507
—
TX
Enumeration date
02/02/2006
Last updated
05/09/2012
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