NPI | 1104338078 |
---|---|
Doing Business As | TEXAS STATE OPTICAL STONE OAK |
Entity Type | Organization |
Authorized Contact | JACLYN HUTCHINS Optometrist 361-510-4903 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |