Trussell L Thane
Trussell L Thane is an Optometrist in Stamford, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
1501 Columbia StStamford, TX 79553-6882
Phone: (325) 773-2083
Fax: (325) 773-2526
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 04720TG (TX) |
|---|
Record details
| NPI number | 1609838101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2006 |
| Last updated in NPPES | February 26, 2015 |
| Mailing address | 1501 Columbia St, Stamford, TX 79553-6882 |