NPI | 1639294614 |
---|---|
Doing Business As | TEXAS STATE OPTICAL OF NEW BRAUNFELS |
Entity Type | Organization |
Authorized Contact | RICHARD HILAIRE BRODTMANN Optometrist 830-629-1248 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX 2507T) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2008-06-20 |