| NPI | 1164491544 |
|---|---|
| Doing Business As | SOUTHMORE TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS A FORD Hr Mgr 713-453-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-05-11 |