| NPI | 1790027910 |
|---|---|
| Doing Business As | TEXAS STATE OPTICAL KELLER |
| Entity Type | Organization |
| Authorized Contact | BHAVESHKUMAR PATEL Owner 512-791-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7124TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 7124TG) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-10-29 |