| NPI | 1033313754 |
|---|---|
| Doing Business As | TAHLEQUAH FAMILY VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | MOLLY GEAN TEBOW Owner/O PT Ometrist 918-456-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK OK 2111) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-06-09 |