NPI | 1578964185 |
---|---|
Doing Business As | PARKDALE TEXAS STATE OPTICAL |
Entity Type | Organization |
Authorized Contact | KHUONG TUAN DINH Optometrist/Owner 361-993-6117 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 6068TG) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2016-06-09 |