Organization
BRIAN K SHANDLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA E SMITH (OFFICE MANAGER)
(979) 299-8188
Entity
Organization
Contact information
Practice address
120 HWY 332 W, STE A5, LAKE JACKSON, TX 77566-4017
(979) 297-8188
(979) 297-5410
Mailing address
120 HWY 332 W, STE A5, LAKE JACKSON, TX 77566-4017
(979) 297-8188
(979) 297-5410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5022TG
TX
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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