Bronaugh Independent Opticians Inc.

NPI #1184881732 in Lufkin, Texas

Provider Information

NPI Number: 1184881732
Entity Type: Organization
Organization Name: Bronaugh Independent Opticians Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 21, 2008
Last Updated: May 21, 2008

Practice Location

Address: 109 GASLIGHT BLVD
City: Lufkin
State: Texas
ZIP Code: 75904-3167
Phone: (936) 632-1010

Authorized Official

Name: CHARDA P BRONAUGH
Title: CORPORATE PRESIDENT
Phone: (936) 632-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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