Organization
GRANBURY EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE B WADLEY O.D. (OWNER/PRESIDENT)
(817) 579-7933
Entity
Organization
Contact information
Practice address
1101 WATERS EDGE DR, STE 104, GRANBURY, TX 76048-1474
(817) 579-7933
Mailing address
1101 WATERS EDGE DR, STE 104, GRANBURY, TX 76048-1474
(817) 579-7933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5503TG
TX
Other
Enumeration date
09/11/2007
Last updated
02/27/2010
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