Brazos Prof. Opt.
Optician · Bryan, TX
Practice location
2901 E 29TH St Ste 105Bryan, TX 77802-2691
- Phone
- (979) 776-7111
- Fax
- (979) 776-7112
NPI record
- NPI
- 1104093335
- Entity type
- Organization (Type 2)
- Enumeration date
- May 15, 2008
- Last updated
- July 29, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optician Primary | 156FX1800X |
— | — |
Authorized official
- Name
- Mr. Lester A Prove
- Title
- Owner
- Phone
- (979) 776-7111
About Brazos Prof. Opt.
Brazos Prof. Opt. is a healthcare organization registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 2901 E 29TH St Ste 105, Bryan, TX 77802-2691. The NPI number 1104093335 was assigned on May 15, 2008 and the record was last updated on July 29, 2008.
The authorized official for this organization is Mr. Lester A Prove, Owner.
Frequently asked questions
What is the NPI number of Brazos Prof. Opt.?
The NPI number is 1104093335.
What is the phone number of Brazos Prof. Opt.?
The phone number listed for the practice location is (979) 776-7111.
Where is Brazos Prof. Opt. located?
2901 E 29TH St Ste 105, Bryan, TX 77802-2691.
What is the taxonomy code for Brazos Prof. Opt.?
The primary taxonomy code is 156FX1800X – Optician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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