| 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 |