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Individual

DR. BRIAN C HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6116
(915) 564-7940
Mailing address
2801 N ZARAGOZA RD APT 1107, EL PASO, TX 79938-7802
(904) 315-2161

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10221TG
TX
152WC0802X
Corneal and Contact Management Optometrist
10221TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10221TG
TEXAS OPTOMETRY LICENSE
TX
Enumeration date
05/26/2021
Last updated
01/09/2025
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