Individual
JOSEPH M CONSTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5421 LA SIERRA DR, DALLAS, TX 75231-4107
(214) 361-1443
(214) 368-8365
Mailing address
5421 LA SIERRA DR, DALLAS, TX 75231-4107
(214) 361-1443
(214) 368-8365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05673TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161815901
—
TX
Enumeration date
06/28/2005
Last updated
07/02/2010
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