NPI | 1407409626 |
---|---|
Doing Business As | TEXAS STATE OPTICAL COLLEYVILLE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ROSS DARILEK Owner 214-219-4402 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-12-07 |