Individual
DANIEL LUKE EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 N BEATON ST, CORSICANA, TX 75110-3149
(903) 874-0005
(903) 874-0009
Mailing address
501 E KOLSTAD ST, PALESTINE, TX 75801-2352
(903) 723-3250
(903) 723-5550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8761T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351627001
—
TX
Enumeration date
07/23/2015
Last updated
04/10/2023
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