| NPI | 1366748352 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GREGG EDWARD KAMNETZ President 512-327-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3486TG) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2012-06-12 |