1619023678

Everything you always wanted to know about DR. BUB SHAWN DARRICK O.D. but were afraid to ask.

DR. BUB SHAWN DARRICK O.D.

You can also download the this 1619023678 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. BUB SHAWN DARRICK O.D.
Gender:
Male
Enumeration date:
2007-01-25
Last update date:
2014-04-18
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
152W00000X Optometrist TX 5614TG Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2819916774
Practice Location Address Telephone Number 2819916774
Mailing Address Fax Number 8322019836
Practice Location Address Fax Number 8322019836

Addresses

Type Address City State Postal Country
Mailing Address 10411 W FAIRMONT PKWY LA PORTE TX 77571 TX
Practice Location Address 10411 W FAIRMONT PKWY LA PORTE TX 77571 TX

Other NPI Records that share a phone number

NPI Name Address State City
1326194242 BUB-LEE EYE CENTER INC
Organization
10411 W FAIRMONT PKWY TX LA PORTE
1538215504 LEE, EMMA
Individual
10411 W FAIRMONT PKWY TX LA PORTE

Other NPI Records that share an address

NPI Name Address State City
1326194242 BUB-LEE EYE CENTER INC
Organization
10411 W FAIRMONT PKWY TX LA PORTE
1538215504 LEE, EMMA
Individual
10411 W FAIRMONT PKWY TX LA PORTE