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Organization
TODD R. BRANTLEY, LLC
Active
Organization
TODD R. BRANTLEY, LLC
Active
Other names
Lone Star Vision
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDEE SERAILE CPOC (INSURANCE MANAGER)
(972) 378-4104
Entity
Organization
Contact information
Practice address
1060 S PRESTON RD, #100, CELINA, TX 75009-3894
(972) 382-2020
(972) 378-9094
Mailing address
1060 S PRESTON RD, #100, CELINA, TX 75009-3894
(972) 382-2020
(972) 378-9094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5711TG
TX
Other
Enumeration date
03/12/2013
Last updated
04/03/2013
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