Individual
JONATHAN MICHAEL STARCHVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2301 S HAMPTON RD STE 500, DALLAS, TX 75224-1654
(214) 330-3937
(214) 330-3939
Mailing address
2301 S HAMPTON RD STE 500, DALLAS, TX 75224-1654
(214) 330-3937
(214) 330-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8708TG
TX
152WC0802X
Corneal and Contact Management Optometrist
8708TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3488587
—
TX
Enumeration date
06/24/2015
Last updated
04/07/2020
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