| NPI | 1760843817 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | PHONG Q. PHAM Od/Owner 832-810-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |