Brent L. Mixon, Od, LLC

NPI #1790953107 in Angleton, Texas

Provider Information

NPI Number: 1790953107
Entity Type: Organization
Organization Name: Brent L. Mixon, Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 1713 E MULBERRY ST
City: Angleton
State: Texas
ZIP Code: 77515-3916
Phone: (979) 849-7321

Authorized Official

Name: DR. BRENT LEE MIXON, O.D.
Title: OWNER
Phone: (979) 849-7321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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