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Organization

HENDERSON OPTICAL

Active
Parent organization
HENDERSON OPTICAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENDERSON OPTICAL
Authorized official
DR. DANIEL E BRUHL M.D. (OPHTHALMOLOGIST)
(817) 596-0277
Entity
Organization

Contact information

Practice address
804 SANTA FE DR, STE 100, WEATHERFORD, TX 76086-6525
(817) 596-0277
(817) 594-0166
Mailing address
804 SANTA FE DR, STE 100, WEATHERFORD, TX 76086-6525
(817) 596-0277
(817) 594-0166

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
04/19/2012
Last updated
04/19/2012
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