Individual
DONALD E REXROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
2648 HIGHWAY 36 S, BRENHAM, TX 77833-9600
(979) 836-1077
(979) 830-1573
Mailing address
2648 HIGHWAY 36 S, BRENHAM, TX 77833-9600
(979) 836-1077
(979) 830-1573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2133T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121655801
—
TX
Enumeration date
07/28/2006
Last updated
10/06/2011
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