| NPI | 1306350236 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL BLUFF SPRINGS |
| Entity Type | Organization |
| Authorized Contact | THOMAS ROBERT WILKINS Owner 512-344-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6638) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |