NPI | 1710255500 |
---|---|
Doing Business As | TEXAS STATE OPTICAL |
Entity Type | Organization |
Authorized Contact | NATHANIEL L DOLBEE Owner / Doctor 512-586-0792 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7832TG) |
Enumeration Date | 2011-12-07 |
Last Update Date | 2014-09-04 |