Organization
BRILLIANT EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUONG LE GIST O.D. (OWNER)
(979) 695-3937
Entity
Organization
Contact information
Practice address
1517 TEXAS AVE S, COLLEGE STATION, TX 77840-3328
(979) 695-3937
(979) 695-3938
Mailing address
1517 TEXAS AVE S, COLLEGE STATION, TX 77840-3328
(979) 695-3937
(979) 695-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7277TG
TX
Other
Enumeration date
06/19/2014
Last updated
12/12/2022
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