Provider Demographics
NPI:1356505481
Name:MCBRIDE, CANDACE D (OD)
Entity Type:Individual
Prefix:DR
First Name:CANDACE
Middle Name:D
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3600 FM 1488 RD
Mailing Address - Street 2:STE: 220
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3817
Mailing Address - Country:US
Mailing Address - Phone:936-273-3937
Mailing Address - Fax:
Practice Address - Street 1:3600 FM 1488 RD
Practice Address - Street 2:STE: 220
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3817
Practice Address - Country:US
Practice Address - Phone:936-273-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7089TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist