| NPI | 1285681304 |
|---|---|
| Doing Business As | VISION SOURCE OF TEXARKANA |
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN President 903-276-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-10-25 |