NPI | 1205909884 |
---|---|
Doing Business As | TEXAS STATE OPTICAL SILSBEE |
Entity Type | Organization |
Authorized Contact | LEIGH B KIMBALL Optometrist 409-899-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |