Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 7138TG | TX |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 7138T | TX |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 7138TG | TX |
N | 152WP0200X | Pediatric Optomitrist | 7138TG | TX |
N | 152WS0006X | Sports Vision | 7138TG | TX |
N | 152WV0400X | Optomitrist - Vision Therapist | 7138TG | TX |
NPI | 1306038583 |
---|---|
Provider Name | Dr. Tajal Patel-Darne |
First Address | Tyler, TX 75703-1312 |
Second Address | Tyler, TX 75703-1312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 12/01/2010 |