# TEXAS STATE OPTICAL OF BRENHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386729903
- **Authorized official:** DR. DONALD EUGENE REXROAD O.D. (PRESIDENT/OPTOMETRIST)
- **Authorized official phone:** (979) 836-1077

## Contact information

- **Practice address:** 2648 HIGHWAY 36 S, BRENHAM, TX 77833-9600
- **Practice address phone:** (979) 836-1166
- **Practice address fax:** (979) 830-1573
- **Mailing address:** 2648 HIGHWAY 36 S, BRENHAM, TX 77833-9600
- **Mailing address phone:** (979) 836-1166
- **Mailing address fax:** (979) 830-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2133T | TX | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020