Individual
FRANK MCILWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
620 INTERSTATE 20 SERVICE ROAD, WASKOM, TX 75692-0236
(903) 687-3680
Mailing address
PO BOX 236, WASKOM, TX 75692-0236
(903) 687-3680
Taxonomy
Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
Primary
2737T
TX
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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