Davidson, Hughes, Bass PA

NPI #1558564815 in Southlake, Texas

Provider Information

NPI Number: 1558564815
Entity Type: Organization
Organization Name: Davidson, Hughes, Bass PA
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2007
Last Updated: Jan 4, 2008

Practice Location

Address: 1247 MAIN ST
City: Southlake
State: Texas
ZIP Code: 76092-7603
Phone: (817) 481-2070

Authorized Official

Name: DR. JOHN LESLIE BASS, O.D.
Title: OPTOMETRIST
Phone: (817) 481-2070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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