NPI 1104533009

Idabel Teg LLC

Organisation Eyewear Supplier Idabel, OK

Practice location

Address: 2020 S E Washington, Idabel, OK 74745
Phone: (903) 329-5051
Fax: (903) 329-5053
Mailing address: 4109 Moores Ln, Texarkana, TX 75503-2159

Authorised official

Name: Kayla E Grassie
Title: Billing
Phone: (903) 329-5051

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1104533009
Entity type: Organization
NPI issued: 31 Oct 2022
Record last updated: 8 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.