NPI | 1033313754 |
---|---|
Doing Business As | TAHLEQUAH FAMILY VISION CLINIC |
Entity Type | Organization |
Authorized Contact | MOLLY GEAN TEBOW Owner/Optometrist 918-456-2250 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OK OK 2111) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2024-11-15 |