KYLE R THAXTON

DR. BRETTLY J. TEAGUE, LLC

Dr KYLE R THAXTON is a male medical professional, specializing in Optometry. He graduated in 2017.

Contact

DR. BRETTLY J. TEAGUE, LLC

4342 TREANOR DR
ABILENE
TX
796027012

Tel: 3256730900

KYLE R THAXTON Information

Npi 1477074938
Pac Id 1355617721
Professional Enrollment Id I20171031000111
Last Name THAXTON
First Name KYLE
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DR. BRETTLY J. TEAGUE, LLC
Group Practice Pac Id 1153496849
Number Of Group Practice Members 3
Line 1 Street Address 4342 TREANOR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ABILENE
State TX
Zip Code 796027012
Phone Number 3256730900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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