Individual
ETHAN CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 E MAIN ST, BRENHAM, TX 77833-3706
(979) 277-0239
Mailing address
4329 COUNTY ROAD 502D, SWEENY, TX 77480-8123
(979) 285-8723
(979) 285-8723
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11409TG
TX
Other
Enumeration date
05/20/2025
Last updated
06/19/2025
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