Individual
BRENDA S. FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4014
(512) 901-3914
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4014
(512) 901-3914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05883T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150413601
—
TX
05
—
150413602
—
TX
Enumeration date
05/27/2006
Last updated
05/27/2010
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