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Individual

JAMES W PUTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1230 N CENTER ST, BONHAM, TX 75418
(903) 583-8930
Mailing address
1230 N CENTER ST, BONHAM, TX 75418
(903) 583-8930

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2871-T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093203001
TX
05
159608201
TX
Enumeration date
08/29/2006
Last updated
10/21/2008
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