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Individual

DR. JOSEPH SCOTT ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3811 SAGEBRIAR DR, BRYAN, TX 77802-6107
(979) 774-0498
Mailing address
2102 CHIPPENDALE ST, COLLEGE STATION, TX 77845-5581
(979) 764-1527

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03111TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093471304
TX
01
81284Q
BCBS ID #
TX
Enumeration date
08/31/2006
Last updated
09/23/2020
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