| Dr. Brettly J. Teague, Llc | |
|
4342 Treanor Dr, Abilene, TX 79602-7012 | |
| (325) 673-0900 | |
| Not Available |
| Full Name | Dr. Brettly J. Teague, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4342 Treanor Dr, Abilene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083875934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7227TG (Texas) | Secondary |
| 207W00000X | Ophthalmology | J0305 (Texas) | Primary |
| Provider Name | Brettly J Teague |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952389967 PECOS PAC ID: 6709951494 Enrollment ID: I20080814000350 |
| Provider Name | Harvey Miller Richert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336142660 PECOS PAC ID: 6608903216 Enrollment ID: I20100513000639 |
| Provider Name | Kyle R Thaxton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477074938 PECOS PAC ID: 1355617721 Enrollment ID: I20171031000111 |
| Provider Name | Pierre G Mardelli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043881394 PECOS PAC ID: 2567867013 Enrollment ID: I20210820001360 |
| Provider Name | Hayden Graham Smiley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447887930 PECOS PAC ID: 4183055742 Enrollment ID: I20240620001630 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brettly J. Teague, Llc 4342 Treanor Dr, Abilene, TX 79602-7012 Ph: (325) 673-0900 | Dr. Brettly J. Teague, Llc 4342 Treanor Dr, Abilene, TX 79602-7012 Ph: (325) 673-0900 |