Texas State Optical of Bryan PC

NPI #1275715963 in Bryan, Texas

Provider Information

NPI Number: 1275715963
Entity Type: Organization
Organization Name: Texas State Optical of Bryan PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 4, 2007
Last Updated: Oct 3, 2008

Practice Location

Address: 3030 E 29TH ST
Address 2: SUITE 106
City: Bryan
State: Texas
ZIP Code: 77802-2757
Phone: (979) 731-8446

Authorized Official

Name: GERALD D PHILLIPS
Title: DOCTOR
Phone: (979) 731-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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