Individual
JONATHAN H TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9002 N NAVARRO ST, VICTORIA, TX 77904-1431
(361) 485-0928
Mailing address
9002 N NAVARRO ST, VICTORIA, TX 77904-1431
(361) 485-0928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6815T
TX
Other
Enumeration date
05/26/2006
Last updated
05/11/2023
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