Brandon Blaker O D P C

NPI 1316006091 - Optometrist - 152W00000X

NPI Details
NPI 1316006091
Enumeration Date 12/08/2006
Last Updated 10/08/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRANDON BRANDON
Position PRESIDENT
Phone (830) 896-2600
Fax
Practice Location
205B W WATER ST
KERRVILLE TX, 78028-4252, US
Phone (830) 896-2600
Fax
Business Location
205B W WATER ST
KERRVILLE TX, 78028-4252, US
Phone (830) 896-2600
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Brandon Blaker O D P C NPI is 1316006091, taxonomy code is 152W00000X Brandon Blaker O D P C physically located at 205b W Water St, Kerrville TX, 78028-4252. NPI Number 1033115704 has the healthcare provider type.

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1316006091 NPI number is provided on an as is basis without warranty of any kind. 1316006091 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Blaker O D P C are for informational purposes only.