Organization
BRONAUGH OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALAN BRONAUGH (OWNER/OPTICIAN)
(936) 632-1010
Entity
Organization
Contact information
Practice address
1607 W FRANK AVE, SUITE 109, LUFKIN, TX 75904-3103
(936) 632-1010
Mailing address
1607 W FRANK AVE, SUITE 109, LUFKIN, TX 75904-3103
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DR4118
TX
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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