Individual
AMANDA JANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3104 INDIANA AVE, LUBBOCK, TX 79410-3148
(806) 793-1927
(806) 791-4077
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07231TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L0160250
TEXAS CONTROLLED SUBSTANCES REGISTRATION CERTIFICATE
TX
Enumeration date
03/04/2009
Last updated
09/30/2021
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