Individual
JOSHUA ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4180 TOWN CTR, SHERMAN, TX 75092-2567
(903) 868-2020
(903) 813-1426
Mailing address
4180 TOWN CTR, SHERMAN, TX 75092-2567
(214) 412-5788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11090TG
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164642138
—
TX
Enumeration date
05/29/2024
Last updated
06/20/2024
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