Individual
DR. DARRIN ODELL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
411 UNIVERSITY AVE, LUBBOCK, TX 79401-1600
(806) 368-7934
Mailing address
411 UNIVERSITY AVE, LUBBOCK, TX 79401-1600
(806) 368-7934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
740
NV
152W00000X
Optometrist
Primary
8084T
TX
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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