Bronaugh Independent Opticians INC.
Durable Medical Equipment & Medical Supplies in Lufkin, TX. Organization (NPI-2).
NPI number1184881732
StatusActive
Last updated in NPPESMay 21, 2008
Details
- NPI
- 1184881732
- Entity type
- Organization (NPI-2)
- Legal business name
- Bronaugh Independent Opticians INC.
- Organization subpart
- No
- Enumeration date
- May 21, 2008
- Last updated
- May 21, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
109 Gaslight BlvdLufkin, TX 75904-3167
Phone 936-632-1010 · Fax 936-632-3233
Mailing address
109 Gaslight BlvdLufkin, TX 75904-3167
Phone 936-632-1010 · Fax 936-632-3233
Authorized official
Charda P Bronaugh
Corporate President
9366321010
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