Individual
JUSTIN OBANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 ELM ST, DALLAS, TX 75270-2102
(214) 651-1000
Mailing address
1201 ELM ST, DALLAS, TX 75270-2102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010927
IL
152W00000X
Optometrist
Primary
8773TG
TX
Other
Enumeration date
10/07/2011
Last updated
12/23/2025
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