Individual
DR. ANN LYNNE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2746 LONGMIRE DR, COLLEGE STATION, TX 77845-5424
(979) 764-1554
(979) 694-2259
Mailing address
2746 LONGMIRE DR, COLLEGE STATION, TX 77845-5424
(979) 764-1554
(979) 694-2259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2142TG
TX
Other
Enumeration date
10/26/2005
Last updated
03/17/2008
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