Individual
DR. PAUL C. TISDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1545 N WASHINGTON ST, WEATHERFORD, OK 73096-2518
(580) 772-2819
(580) 772-2805
Mailing address
1545 N WASHINGTON ST, WEATHERFORD, OK 73096-2518
(580) 772-2819
(580) 772-2805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1016
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069320
—
OK
Enumeration date
05/04/2006
Last updated
10/01/2025
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