Individual
BRYAN MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 E HWY 377 STE 106, GRANBURY, TX 76048-1457
(817) 578-8484
(817) 579-1329
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4839
TX
152WX0102X
Occupational Vision Optometrist
04839T
TX
Other
Enumeration date
11/30/2006
Last updated
10/29/2020
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