| NPI | 1568708105 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GRACE SALONE Optometrist 512-240-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7524TG) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2023-05-18 |