Brandon Blaker O D P C

NPI #1396884979 in Hondo, Texas

Provider Information

NPI Number: 1396884979
Entity Type: Organization
Organization Name: Brandon Blaker O D P C
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 6, 2007
Last Updated: Jul 28, 2016

Practice Location

Address: 1620 AVENUE M
City: Hondo
State: Texas
ZIP Code: 78861-1756
Phone: (830) 741-2634

Authorized Official

Name: BRANDON J BLAKER, O.D.
Title: PRESIDENT
Phone: (830) 741-2634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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