Individual
LON WHITFIELD EUBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1221B N BRAZOS, WHITNEY, TX 76692-2067
(254) 694-3435
(254) 694-9968
Mailing address
PO BOX 2067, WHITNEY, TX 76692-5067
(254) 694-3435
(254) 694-9968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5119TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019553901
—
TX
01
—
1508063504
FACILITY NPI
TX
Enumeration date
10/31/2006
Last updated
08/07/2013
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