RUSSELL ISAAC LILES

Dr RUSSELL ISAAC LILES is a male medical professional, specializing in Optometry. He graduated in 2014 from University Of Houston - College Of Optometry.

Contact

4150 SOUTHWEST DR
SUITE 101
ABILENE
TX
796068292

Tel:

RUSSELL ISAAC LILES Information

Npi 1578971396
Pac Id 5991923203
Professional Enrollment Id I20180314000403
Last Name LILES
First Name RUSSELL
Middle Name ISAAC
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduation Year 2014
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 4150 SOUTHWEST DR
Line 2 Street Address SUITE 101
Marker Of Address Line 2 Suppression
City ABILENE
State TX
Zip Code 796068292
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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