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Organization

BOB JOE, O.D. AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BOB JOE OD (OWNER)
(512) 454-4641
Entity
Organization

Contact information

Practice address
8105 SHOAL CREEK BLVD, SUITE A, AUSTIN, TX 78757-8040
(512) 454-4641
(512) 454-1265
Mailing address
8105 SHOAL CREEK BLVD, SUITE A, AUSTIN, TX 78757-8040
(512) 454-4641
(512) 454-1265

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2286TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0036FH
BCBS GROUP #
TX
Enumeration date
03/27/2007
Last updated
03/04/2008
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