| NPI | 1235602525 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL - MIDLOTHIAN |
| Entity Type | Organization |
| Authorized Contact | SHAWN M PRAPTA Owner/Optometrist 682-518-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |