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Organization
WHOLE VISION PA
Active
Organization
WHOLE VISION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HUGHES O.D. (PRESIDENT)
(512) 586-3611
Entity
Organization
Contact information
Practice address
643 N HARVEY MITCHELL PKWY, BRYAN, TX 77807-1012
(979) 822-5000
(979) 822-5002
Mailing address
4509 WARWICK LN, BRYAN, TX 77802-5665
(512) 586-3611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5179T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864365-01
—
TX
Enumeration date
02/25/2009
Last updated
07/17/2015
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