| NPI | 1154405777 |
|---|---|
| Other Name | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CARLEY MILLER Administrator 281-535-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX TX3270TG) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-07-18 |