Individual
MR. PHILLIP CARL TABOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
119W MAIN ST, DAVIS, OK 73030-1747
(580) 369-3937
Mailing address
119W MAIN ST, DAVIS, OK 73030-1747
(580) 369-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2870
OK
Other
Enumeration date
07/16/2007
Last updated
05/08/2025
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