Brandon J Blaker O.d. P.c.

NPI 1396884979 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1396884979
Enumeration Date 02/06/2007
Last Updated 02/04/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRANDON J BRANDON
Position PRESIDENT
Phone (830) 741-2634
Fax (830) 257-6419
Practice Location
1620 AVENUE M
HONDO TX, 78861-1756, US
Phone (830) 741-2634
Fax (830) 257-6419
Business Location
205B W WATER ST
KERRVILLE TX, 78028, US
Phone (830) 896-4044
Fax (830) 257-6419
Toxanomy
Taxonomy Code 332H00000X
License State Texas
License Number TX6429TG
Remove 1396884979 NPI Number
 

According to our database, Brandon J Blaker O.d. P.c. NPI is 1396884979, taxonomy code is 332H00000X and license number is TX6429TG, license state is located at Texas. Brandon J Blaker O.d. P.c. physically located at 1620 Avenue M, Hondo TX, 78861-1756. NPI Number 1033115704 has the healthcare provider type.

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1396884979 NPI number is provided on an as is basis without warranty of any kind. 1396884979 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon J Blaker O.d. P.c. are for informational purposes only.