Individual
DR. DON PAUL RUDASILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3915 NE STALLINGS DR, NACOGDOCHES, TX 75965-2169
(936) 564-2020
(936) 564-9696
Mailing address
3915 NE STALLINGS DR, NACOGDOCHES, TX 75965-2169
(936) 564-2020
(936) 564-9696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2634TG
TX
152WC0802X
Corneal and Contact Management Optometrist
2634TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
2634TG
TX
152WP0200X
Pediatric Optometrist
2634TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127238701
—
TX
Enumeration date
08/10/2006
Last updated
04/15/2008
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