Individual
DR. CIARRA HUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1200 E ELDORADO PKWY STE 100, LITTLE ELM, TX 75068-5582
(972) 292-0900
Mailing address
210 FENNELL DR, MONROE, LA 71203-3926
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9733T
TX
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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