Individual
JOHN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 AVENUE B NW, CHILDRESS, TX 79201-4513
(940) 537-1376
Mailing address
PO BOX 256, CHILDRESS, TX 79201-0256
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
159943
TX
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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