| NPI | 1790954246 |
|---|---|
| Former Legal Business Name | CHARLES DENABURG ROB B. JORDAN DRS. DENABURG & JORDAN |
| Entity Type | Organization |
| Authorized Contact | ROB B JORDAN Partner 731-885-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN ODT1210) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2009-06-01 |