NPI | 1598109183 |
---|---|
Doing Business As | TEXAS STATE OPTICAL |
Entity Type | Organization |
Authorized Contact | JEFFREY T HARRELL Owner/President 972-221-2563 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 3945-TG) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 3945-TG) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2015-08-07 |