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Organization

DENTON EYEDOCTORS

Active
Other names
REBECCA J BRADFORD, OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBECCA JO BRADFORD OD (OWNER)
(940) 293-1127
Entity
Organization

Contact information

Practice address
207 W HICKORY ST STE 102, DENTON, TX 76201-4147
(940) 293-1127
(866) 722-4820
Mailing address
207 W HICKORY ST STE 102, DENTON, TX 76201-4147
(940) 293-1127
(866) 722-4820

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4228T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
343154601
TX
Enumeration date
12/02/2015
Last updated
12/02/2015
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