Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRUSSELL L THANE
Active Sole ProprietorTRUSSELL L THANE is a Optometrist healthcare provider located in STAMFORD, Texas. NPI 1609838101 is currently active in the NPPES registry. Verify at CMS.
Optometrist · STAMFORD, TX
Registration Details
- NPI Number
- 1609838101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2006 (20.362900917827 yrs)
- Last Updated
- Feb 26, 2015
- License
-
04720TG (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 COLUMBIA STSTAMFORD, TX, 795536882Browse TX providers · Browse ZIP 79553
- Phone
- 3257732083
- Fax
- 3257732526
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.