Individual
JANET ILIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6255
(210) 292-7934
Mailing address
9510 FRENCH TREE, HELOTES, TX 78023-4468
(940) 337-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003050
CO
152W00000X
Optometrist
Primary
9348
TX
Other
Enumeration date
08/29/2014
Last updated
07/14/2026
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