Individual
DR. JON JOEL NITARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
750 SUNLAND PARK DRIVE, STE G1, EL PASO, TX 79912
(915) 585-1928
(915) 833-9626
Mailing address
1000 FM 300, LEVELLAND, TX 79336-6235
(806) 894-7842
(806) 894-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6556T
TX
Other
Enumeration date
12/22/2005
Last updated
06/15/2020
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