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Individual

DR. JOHN KILEY HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
848 N WALNUT AVE, NEW BRAUNFELS, TX 78130-5431
(830) 624-8870
(830) 624-8868
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2090TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093149501
TX
Enumeration date
09/07/2005
Last updated
08/28/2020
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