DR. Glen Woodford Hart II, O.D.

NPI #1982782439 in Texarkana, Texas

Provider Information

NPI Number: 1982782439
Entity Type: Individual
Name: DR. Glen Woodford Hart II, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 226 RICHMOND RANCH RD
City: Texarkana
State: Texas
ZIP Code: 75503-1083
Phone: (903) 831-5974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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