Organization
DR ANN L WILD OPTOMETRIST PA
Active
Other names
Dr Ann L Wild, Optometrist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN L WILD OD (OWNER)
(979) 764-1554
Entity
Organization
Contact information
Practice address
2746 LONGMIRE DR, COLLEGE STATION, TX 77845-5424
(979) 764-1554
(979) 694-2259
Mailing address
2746 LONGMIRE DR, COLLEGE STATION, TX 77845-5424
(979) 764-1554
(979) 694-2259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2142TG
TX
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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