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Individual

MAX J WORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
202 W 5TH AVE, CORSICANA, TX 75110-5202
(903) 872-5681
(903) 872-0603
Mailing address
PO BOX 615, CORSICANA, TX 75151-0615
(903) 872-5681
(903) 872-0603

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1801TG
TX
152W00000X
Optometrist
TX1801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093032301
TX
Enumeration date
08/25/2006
Last updated
04/12/2022
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