| NPI | 1740373141 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | SALLY SALAMATA HAMISSOU Od 512-442-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2024-03-13 |