Tisdale, James N.

Tisdale, James N. is an sole proprietor health care provider with primary practice located at 114 Professional Park Dr , Victoria TX 77904-2351. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tisdale, James N. can be contacted via phone (361) 578-8441.

Contact Information

Primary practice address
114 Professional Park Dr Victoria TX 77904-2351
Phone: (361) 578-8441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2309TG Texas

Profile Details

NPI number 1073622692
LBN Legal business name Tisdale, James N.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Dec 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073622692 NPPES
Texas Other 440-56-97 AETNA
Texas Other 410011742 AETNA
Texas Other 82179Q AETNA

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