Individual
DR. JAMES R. HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14370 W. HWY. 29, SUITE 8, LIBERTY HILL, TX 78642
(512) 515-5100
(512) 515-0500
Mailing address
14370 W. HWY. 29, SUITE 8, LIBERTY HILL, TX 78642
(512) 515-5100
(512) 515-0500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2370TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
2370TG
TX
152WV0400X
Vision Therapy Optometrist
2370TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180713-05
—
TX
Enumeration date
09/30/2005
Last updated
11/16/2012
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