Organization
DR HENRY A HULL OPTOMETRIST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY A HULL O.D. (OWNER)
(830) 625-5716
Entity
Organization
Contact information
Practice address
147 FREDERICKSBURG RD, NEW BRAUNFELS, TX 78130-5434
(830) 625-5716
(830) 625-5773
Mailing address
147 FREDERICKSBURG RD, NEW BRAUNFELS, TX 78130-5434
(830) 625-5716
(830) 625-5773
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02342TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017PU
BLUE CROSS BLUE SHIELD
TX
01
—
CP3043
RR MEDICARE
TX
Enumeration date
07/19/2006
Last updated
06/01/2015
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