| NPI | 1467595033 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL OF LAREDO |
| Entity Type | Organization |
| Authorized Contact | MARIO RAYMUNDO BARRERA President 956-723-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |