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Mr. Lester Prove, ABOC,NCLE
Optician in Bryan, Texas
NPI 1235323809

Lester Prove is a Optician based in Bryan, TX and is specialized in Optician. Lester Prove practices in Bryan, TX and has the professional credentials of ABOC,NCLE. The NPI Number for Lester Prove is 1235323809 and holds a License No. (Texas).

The current practice location address for Lester Prove is 2901 E 29Th St Ste 105, Bryan, TX and can be reached out via phone at 979-776-7111.

Location: 2901 E 29Th St Ste 105, Bryan, TX, 77802-2691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235323809
Provider Name
Lester Prove
Credential
ABOC,NCLE
Provider Entity Type
Individual
Gender
Male
Address
2901 E 29Th St Ste 105, Bryan, TX, 77802-2691
Phone Number
979-776-7111
Fax Number
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09779001 05 TX
institution
Provider Business Practice Location Address Details
Address
2901 E 29Th St Ste 105
City
Bryan
State
Texas
Zip
77802-2691
Phone Number
979-776-7111
Fax Number
person
Provider Business Mailing Address Details
Address
2901 E 29Th St Ste 105
City
Bryan
State
Texas
Zip
77802-2691
Phone Number
979-776-7111
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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