| NPI | 1063639698 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL OF CHAMPIONS VILLAGE |
| Entity Type | Organization |
| Authorized Contact | WAYNE MALTZ President 281-440-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2671T) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-06-21 |