| NPI | 1336476803 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | RENEE TOMES DUNLAP Manager/O PT Ometrist 210-698-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7303TG) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |