LARRY MICHAEL CHISM

TYLER, TX
NPI1376670216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TX  02774TG)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- LARRY MICHAEL CHISM O.D.
136 SHELLEY DR
TYLER, TX 75701-8723
Phone number: 903-561-8686
Mailing Address
-- LARRY MICHAEL CHISM O.D.
136 SHELLEY DR
TYLER, TX 75701-8723
Phone number: 903-561-8686
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