Individual
JEREMY KYLE BRUEGGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 E 41ST ST, 406, AUSTIN, TX 78751-4810
(469) 693-1426
(512) 450-0421
Mailing address
7316 CAVE HOLW, AUSTIN, TX 78750-8243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7467TG
TX
Other
Enumeration date
11/06/2009
Last updated
02/11/2011
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