Individual
DR. JONATHAN NICHOLAS VALAMIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6060 AZLE AVE. SUITE 500, LAKE WORTH, TX 76135
(817) 546-6000
Mailing address
5107 ANDALUSIA TRL, ARLINGTON, TX 76017-3131
(817) 874-7201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7079T
TX
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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