Organization
BRENT L. MIXON, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT LEE MIXON O.D. (OWNER)
(979) 849-7321
Entity
Organization
Contact information
Practice address
1713 E MULBERRY ST, ANGLETON, TX 77515-3916
(979) 849-7321
(979) 849-7321
Mailing address
1713 E MULBERRY ST, ANGLETON, TX 77515-3916
(979) 849-7321
(979) 849-7321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6944TG
TX
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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