Organization
BIG COUNTRY OPTICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETTLY JOEL TEAGUE M.D. (OWNER/MD)
(325) 690-5900
Entity
Organization
Contact information
Practice address
4342 TREANOR DR, ABILENE, TX 79602-7012
(325) 690-5900
(325) 690-5902
Mailing address
4342 TREANOR DR, ABILENE, TX 79602-7012
(325) 690-5900
(325) 690-5902
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
TX
Other
Enumeration date
05/26/2010
Last updated
06/14/2010
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