Mr. Leslie M Funkhouser, OPTICIAN
Mr. Leslie M Funkhouser, OPTICIAN is an Optician in Athens, Texas. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1260 S Palestine StAthens, TX 75751-3619
Phone: (903) 677-1985
Fax: (903) 677-2099
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1548287196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICIAN |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | July 8, 2007 |
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