Organization
BROOME PROFESSIONALS PA
Active
Other names
Broome Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE R CLIFFORD OCS (BILLING)
(806) 355-5633
Entity
Organization
Contact information
Practice address
3408 OLSEN BLVD., AMARILLO, TX 79109
(806) 355-5633
(806) 355-9133
Mailing address
3408 OLSEN BLVD, AMARILLO, TX 79109
(806) 355-5633
(806) 355-9133
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
07/16/2012
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