Individual
SHEILA KAY THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
7401 I 30, GREENVILLE, TX 75402-7121
(903) 455-8497
(903) 455-9137
Mailing address
7401 I 30, GREENVILLE, TX 75402-7121
(903) 455-8497
(903) 455-9137
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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