Organization
BENBROOK FAMILY VISION CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP G HANSON OD (OWNER)
(817) 249-8860
Entity
Organization
Contact information
Practice address
114 SPROLES DR, SUITE 102, BENBROOK, TX 76126-3249
(817) 249-8860
(817) 249-8861
Mailing address
114 SPROLES DR, SUITE 102, BENBROOK, TX 76126-3249
(817) 249-8860
(817) 249-8861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
12/16/2008
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