Individual
RICHARD JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 S HIGHWAY 123 BYP, SEGUIN, TX 78155-9752
(830) 372-3246
Mailing address
550 S HIGHWAY 123 BYP, SEGUIN, TX 78155-9752
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009523-01
NY
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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