Russell D Subia OD

NPI 1689773574 - Optometrist - 152W00000X

NPI Details
NPI 1689773574
Gender Male
Enumeration Date 09/21/2006
Last Updated 01/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2260 LINDA AVE
STE. 201
ODESSA TX, 79763-2663, US
Phone (432) 333-3937
Fax (432) 337-3937
Business Location
2260 LINDA AVE
STE. 201
ODESSA TX, 79763-2663, US
Phone (432) 333-3937
Fax (432) 337-3937
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 6260 TG
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According to our database, Russell D Subia OD NPI is 1689773574, taxonomy code is 152W00000X and license number is 6260 TG, license state is located at Texas. Russell D Subia OD physically located at 2260 Linda Ave, Odessa TX, 79763-2663. NPI Number Russell D Subia OD has the Individual type.

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1689773574 NPI number is provided on an as is basis without warranty of any kind. 1689773574 is maintained by the National Plan & Provider Enumeration System. The contents of Russell D Subia OD are for informational purposes only.