| NPI | 1134198518 |
|---|---|
| Doing Business As | NORTHLINE TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS FORD Hr Director 713-453-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-02-09 |