Provider Demographics
NPI:1225683329
Name:HARDING, ANDREW TAYLOR (OD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:TAYLOR
Last Name:HARDING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-3311
Mailing Address - Country:US
Mailing Address - Phone:325-643-5511
Mailing Address - Fax:325-600-4225
Practice Address - Street 1:1200 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3311
Practice Address - Country:US
Practice Address - Phone:325-643-5511
Practice Address - Fax:325-600-4225
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9851152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist