Provider Demographics
NPI:1609316900
Name:D34-7, PLLC
Entity type:Organization
Organization Name:D34-7, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, PLLC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-851-8186
Mailing Address - Street 1:24504 KUYKENDAHL RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3412
Mailing Address - Country:US
Mailing Address - Phone:832-851-8186
Mailing Address - Fax:832-698-4987
Practice Address - Street 1:24504 KUYKENDAHL RD
Practice Address - Street 2:SUITE 500
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3412
Practice Address - Country:US
Practice Address - Phone:832-851-8186
Practice Address - Fax:832-698-4987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7956TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty