Individual
BRIAN DANIEL RAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2313 W PARKER RD, PLANO, TX 75023-7839
(972) 612-2015
(972) 867-5454
Mailing address
2313 W PARKER RD, PLANO, TX 75023-7839
(972) 612-2015
(972) 867-5454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5013TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410049425
MEDICARE RAILROAD
TX
Enumeration date
08/24/2005
Last updated
10/28/2009
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