Individual
JORDAN TANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5001 W WACO DR, WACO, TX 76710-7021
(888) 792-8588
Mailing address
5001 W WACO DR, WACO, TX 76710-7021
(888) 792-8588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9327T
TX
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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