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Individual

BRANDI MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1140 ELDRIDGE PKWY, 120, HOUSTON, TX 77077-2543
(806) 676-1713
Mailing address
1140 ELDRIDGE PKWY, SUITE 120, HOUSTON, TX 77077-2543
(281) 759-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
7712TG
TX
152WC0802X
Corneal and Contact Management Optometrist
7712TG
TX
152WP0200X
Pediatric Optometrist
Primary
7712TG
TX
152WV0400X
Vision Therapy Optometrist
7712TG
TX

Other

Enumeration date
07/19/2011
Last updated
07/17/2012
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