| NPI | 1124672225 |
|---|---|
| Doing Business As | TSO - CLEAR LAKE MARKETPLACE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYAN DEVERA Manager 281-910-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2020-07-16 |