Larry M Chism Pc

NPI 1033247598 - Optometrist - 152W00000X

NPI Details
NPI 1033247598
Enumeration Date 02/28/2007
Last Updated 05/17/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY M LARRY
Position OWNER/OPTOMETRIST
Phone (903) 561-8686
Fax (903) 581-1518
Practice Location
136 SHELLEY DRIVE
TYLER TX, 75701, US
Phone (903) 561-8686
Fax (903) 581-1518
Business Location
136 SHELLEY DRIVE
TYLER TX, 75701, US
Phone (903) 561-8686
Fax (903) 581-1518
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 02774TG
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According to our database, Larry M Chism Pc NPI is 1033247598, taxonomy code is 152W00000X and license number is 02774TG, license state is located at Texas. Larry M Chism Pc physically located at 136 Shelley Drive, Tyler TX, 75701. NPI Number 1033115704 has the healthcare provider type.

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1033247598 NPI number is provided on an as is basis without warranty of any kind. 1033247598 is maintained by the National Plan & Provider Enumeration System. The contents of Larry M Chism Pc are for informational purposes only.