Organization
EYE DISEASES & LASER SURGERY ASSOCIATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HARPER M.D. (PRESIDENT)
(512) 446-5599
Entity
Organization
Contact information
Practice address
305 CHILDRESS DR, ROCKDALE, TX 76567-2729
(512) 446-5599
(512) 446-0105
Mailing address
PO BOX 352, ROCKDALE, TX 76567-0352
(512) 446-5599
(512) 446-0105
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E8537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000CU754
—
TX
Enumeration date
07/16/2005
Last updated
07/12/2007
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