Individual
DR. ASHLEY HALBERT RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2806 E 29TH ST, BRYAN, TX 77802-2601
(979) 776-8330
Mailing address
4078 CROOKED CREEK PATH, COLLEGE STATION, TX 77845-2069
(979) 587-4848
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
06101TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148211902
—
TX
01
—
80714Q
BCBS
TX
Enumeration date
01/25/2007
Last updated
11/12/2018
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