Organization
GARRAL TIADEN, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRAL TIADEN O.D. (OWNER)
(979) 836-3597
Entity
Organization
Contact information
Practice address
2448 BECKER DR STE 200, BRENHAM, TX 77833-5714
(979) 836-3597
(979) 277-0239
Mailing address
2448 BECKER DR., STE 200, BRENHAM, TX 77833
(979) 836-3597
(979) 277-0239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX2893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E31K
BLUE CROSS AND BLUE SHIEL
TX
Enumeration date
02/07/2007
Last updated
01/03/2012
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