| NPI | 1609196393 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL NW |
| Entity Type | Organization |
| Authorized Contact | LY H NGUYEN President 281-758-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6457TG) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |