Provider Demographics
NPI:1124213749
Name:DR. JOHN R. SLIDER AND DR. DONALD L. HEMBREE PARTNERSHIP
Entity type:Organization
Organization Name:DR. JOHN R. SLIDER AND DR. DONALD L. HEMBREE PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SLIDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:432-362-3133
Mailing Address - Street 1:4015 PENBROOK ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5917
Mailing Address - Country:US
Mailing Address - Phone:432-361-3133
Mailing Address - Fax:432-362-4818
Practice Address - Street 1:4015 PENBROOK ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5917
Practice Address - Country:US
Practice Address - Phone:432-361-3133
Practice Address - Fax:432-362-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty