Individual
MISS AMIDEMEBIE DECHAVEZ CASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., O.D.
Contact information
Practice address
3915 NE STALLINGS DR, NACOGDOCHES, TX 75965-2169
(936) 560-2020
Mailing address
4139S BROADWAY AVE, TYLER, TX 75701-8720
(903) 534-8349
(903) 581-8203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8158T
TX
Other
Enumeration date
07/03/2013
Last updated
12/17/2015
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