Organization
BRYAN TOTAL VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R VANLANINGHAM O.D. (VICE PRESIDENT)
(979) 774-5400
Entity
Organization
Contact information
Practice address
2200 BRIARCREST DR, STE 106, BRYAN, TX 77802-5001
(979) 774-5400
(979) 731-8483
Mailing address
2200 BRIARCREST DR, STE 106, BRYAN, TX 77802-5001
(979) 774-5400
(979) 731-8483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156519401
—
TX
Enumeration date
08/20/2008
Last updated
07/26/2024
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