Texas State Optical Of Bryan Pc

NPI 1275715963 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1275715963
Enumeration Date 12/04/2007
Last Updated 10/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD D GERALD
Position DOCTOR
Phone (979) 731-8446
Fax
Practice Location
3030 E 29TH ST
SUITE 106
BRYAN TX, 77802-2757, US
Phone (979) 731-8446
Fax
Business Location
3030 E 29TH ST
SUITE 106
BRYAN TX, 77802-2757, US
Phone
Fax
Toxanomy
Taxonomy Code 332H00000X
License State
License Number
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According to our database, Texas State Optical Of Bryan Pc NPI is 1275715963, taxonomy code is 332H00000X Texas State Optical Of Bryan Pc physically located at 3030 E 29th St, Bryan TX, 77802-2757. NPI Number 1033115704 has the healthcare provider type.

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1275715963 NPI number is provided on an as is basis without warranty of any kind. 1275715963 is maintained by the National Plan & Provider Enumeration System. The contents of Texas State Optical Of Bryan Pc are for informational purposes only.