Organization
BARRY J DAVIS & DON A REEVES PTR
Active
Other names
Texas State Optical of Nederland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER YOUNG O.D. (OPTOMETRIST)
(409) 722-6141
Entity
Organization
Contact information
Practice address
8700 CENTRAL MALL DRIVE, PORT ARTHUR, TX 77642-8058
(409) 722-6141
(409) 724-2405
Mailing address
8700 CENTRAL MALL DRIVE, PORT ARTHUR, TX 77642-8058
(409) 722-6141
(409) 724-2405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Enumeration date
03/21/2007
Last updated
10/19/2009
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